Mark William Mittauer, MD | |
Rte 12 Bldg 449, Groton, CT 06349-5600 | |
(860) 694-2377 | |
(860) 694-2590 |
Full Name | Mark William Mittauer |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 42 Years |
Location | Rte 12 Bldg 449, Groton, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255322996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME48585 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Abbe Management Corp | 0446140222 | 15 |
Entity Name | Hillcrest Family Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023232824 PECOS PAC ID: 1557274743 Enrollment ID: O20031112000709 |
Entity Name | Abbe Center For Community Mental Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063586071 PECOS PAC ID: 5890684336 Enrollment ID: O20040312000921 |
Entity Name | Abbe Management Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811998859 PECOS PAC ID: 0446140222 Enrollment ID: O20040316001232 |
Mailing Address | Practice Location Address |
---|---|
Mark William Mittauer, MD Rte 12 Bldg 449, Attn: Professional Affairs, Groton, CT 06349-5600 Ph: (860) 694-2377 | Mark William Mittauer, MD Rte 12 Bldg 449, Groton, CT 06349-5600 Ph: (860) 694-2377 |
Dr. Julia Jacobs, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4496 | |
Dr. Douglas Charles Mcadams, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4123 | |
Dr. Kimberly C. Riquelme, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1353 Gold Star Hwy, Groton, CT 06340 Phone: 860-449-9947 | |
Robert A Grillo Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966 Fax: 860-694-3388 | |
Dr. Ismail Yahyazade, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590 | |
Dr. Christopher Allen Stetler, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966 |