Mark A Rosenthal, MD - Medicare Pediatrics in Gales Ferry, CT

Mark A Rosenthal, MD is a medicare enrolled "Pediatrics" physician in Gales Ferry, Connecticut. His current practice location is 1527 Route 12, Box 608, Gales Ferry, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 464-7248.

Mark A Rosenthal is licensed to practice in Connecticut (license number 037353) 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 1144319690.

Contact Information

Mark A Rosenthal, MD
1527 Route 12, Box 608,
Gales Ferry, CT 06335-1800
(860) 464-7248
(860) 464-0125

Map and Direction




Physician's Profile

Full NameMark A Rosenthal
GenderMale
SpecialityPediatrics
Location1527 Route 12, Gales Ferry, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144319690
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 01/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3173868981
  • Enrollment ID: I20181226001768

Medical Identifiers

Medical identifiers for Mark A Rosenthal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144319690NPI-NPPES
01037353OtherCIGNA
OV5871OtherHEALTH NET
010037353CT0OtherBLUE CROSS
761223OtherCONNECTICARE
001373539MedicaidCT
1204724OtherUNITED HEALTH CARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 037353 (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. Mark A Rosenthal allows following entities to bill medicare on his behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522

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. Mark A Rosenthal 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
Mark A Rosenthal, MD
1527 Route 12, Po Box 608,
Gales Ferry, CT 06335-1800

Ph: (860) 464-7248
Mark A Rosenthal, MD
1527 Route 12, Box 608,
Gales Ferry, CT 06335-1800

Ph: (860) 464-7248

Reviews and Comments


Pediatrics Doctors in Gales Ferry, CT

David M. Rinzler, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1527 Route 12, Gales Ferry, CT 06335
Phone: 860-464-7248    Fax: 860-464-0125
Dr. Foong-yi Lin, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1527 Rt 12, Box 608, Gales Ferry, CT 06335
Phone: 860-464-7248    Fax: 860-464-0125
Michelle N Watson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1527 Route 12, Gales Ferry, CT 06335
Phone: 860-464-7248    Fax: 860-464-0125
John P Ancona, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1527 Route 12, Gales Ferry, CT 06335
Phone: 860-464-7248    Fax: 860-464-0125
Charles R Esposito, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1527 Route 12, Gales Ferry, CT 06335
Phone: 860-464-7248    Fax: 860-464-0125
Phyllis A. Holtzman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1527 Route 12, Gales Ferry, CT 06335
Phone: 860-464-7248    Fax: 860-464-0125

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.