Michael E Blefeld, MD | |
495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 | |
(860) 449-8882 | |
(860) 449-9195 |
Full Name | Michael E Blefeld |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 495 Gold Star Hwy, Groton, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104997923 | NPI | - | NPPES |
031502 | Other | HEALTH NET | |
1416771-005 | Other | CIGNA | |
010022070CT01 | Other | BLUE CROSS BLUE SHIELD | |
4205040 | Other | AETNA | |
620293 | Other | CONNECTICARE | |
001220706 | Medicaid | CT | |
NLP064 | Other | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 22070 (Connecticut) | Primary |
Entity Name | Prohealth Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
---|---|
Michael E Blefeld, MD 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 Ph: (860) 449-8882 | Michael E Blefeld, MD 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 Ph: (860) 449-8882 |
Amy Reynolds, CRNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-2493 | |
Anna-marie L Melchreit, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340 Phone: 860-449-8882 Fax: 869-449-9195 | |
Margaret Gross, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 495 Route 184 Ste 120, Groton, CT 06340 Phone: 860-449-8882 | |
Carol J Fiftal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340 Phone: 860-449-8882 Fax: 860-449-9195 | |
Dr. James Joseph Fritz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Rt 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590 | |
Mary A Glenn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340 Phone: 860-449-8882 Fax: 860-449-9195 |