Mr Lawrence C Kaplan, MD - Medicare Pediatrics in Essex, CT

Mr Lawrence C Kaplan, MD is a medicare enrolled "Pediatrics" physician in Essex, Connecticut. His current practice location is 252 Westbrook Rd, Essex, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 358-4470.

Mr Lawrence C Kaplan is licensed to practice in Connecticut (license number 30889) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861401671.

Contact Information

Mr Lawrence C Kaplan, MD
252 Westbrook Rd,
Essex, CT 06426-1513
(860) 358-4470
Not Available

Map and Direction




Physician's Profile

Full NameMr Lawrence C Kaplan
GenderMale
SpecialityPediatrics
Location252 Westbrook Rd, Essex, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861401671
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 05/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264449826
  • Enrollment ID: I20240521003406

Medical Identifiers

Medical identifiers for Mr Lawrence C Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861401671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0006XPediatrics - Developmental - Behavioral Pediatrics 52663 (Massachusetts)Secondary
208000000XPediatrics 52663 (Massachusetts)Secondary
208000000XPediatrics 30889 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Lawrence C Kaplan allows following entities to bill medicare on his behalf.
Entity NameMiddlesex Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760454334
PECOS PAC ID: 5092611731
Enrollment ID: O20031211000843
Entity NameMiddlesex Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851350664
PECOS PAC ID: 5092611731
Enrollment ID: O20031216000518

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Lawrence C Kaplan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Lawrence C Kaplan, MD
28 Crescent St,
Middletown, CT 06457-3650

Ph: (860) 358-6000
Mr Lawrence C Kaplan, MD
252 Westbrook Rd,
Essex, CT 06426-1513

Ph: (860) 358-4470

Reviews and Comments


Pediatrics Doctors in Essex, CT

Michelle Elizabeth Dilorenzo, DO
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Practice Location: One Wildwood Medical Center, Essex, CT 06426
Phone: 860-767-0168    Fax: 860-767-1803
Kenneth Robert Burke, MD
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Medicare: Not Enrolled in Medicare
Practice Location: One Wildwood Medical Center, Essex, CT 06426
Phone: 860-767-0168    Fax: 860-767-1803
Nicholas Condulis, MD
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Medicare: Not Enrolled in Medicare
Practice Location: One Wildwood Medical Center, Essex, CT 06426
Phone: 860-767-0168    Fax: 860-767-1803
Marybeth Pytlik Ellison, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Sunflower Developmental Pediatrics, 11 Wildwood Medical Center, Essex, CT 06426
Phone: 860-365-9300    Fax: 860-365-9300

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.