Mr Christopher Mcdermott, MD | |
320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 | |
(860) 963-6390 | |
(860) 963-6343 |
Full Name | Mr Christopher Mcdermott |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 320 Pomfret St, Putnam, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396738076 | NPI | - | NPPES |
060646599 | Other | CT | UNITED HEATHCARE |
060646599 | Other | CT | EBPA / NORTHEAST HEALTH D |
1187570 | Other | CT | CIGNA |
001404483CL | Medicaid | CT | |
060646599 | Other | CT | NEHCA / HMC PPO |
5412114 | Other | CT | CCN |
7988333 | Other | CT | AETNA |
060646599 | Other | CT | PIONEER |
060646599 | Other | CT | PRIVATE HEALTHCARE SYSTEM |
060646599 | Other | CT | GREAT WEST |
2V1888 | Other | CT | HELATH NET |
060646599 | Other | CT | COMMUNITY HEALTH NETWORK |
2117234 | Other | CT | FIRST HEALTH |
010040448CT01 | Other | CT | ANTHEM BLUE CROSS |
060646599 | Other | CT | MULTIPLAN |
201494 | Other | CT | PREFERRED ONE/FIRST CHOIC |
060646599001 | Other | CT | HEALTH NET FEDERAL SERVIC |
040448 | Other | CT | CONNECTICARE |
060646599 | Other | CT | CIPA / CCC IPA |
P2647031 | Other | CT | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 040448 (Connecticut) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
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 |
---|---|
Mr Christopher Mcdermott, MD 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 Ph: (860) 963-6390 | Mr Christopher Mcdermott, MD 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 Ph: (860) 963-6390 |
Garfield W Danenhower, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 Fax: 860-963-6343 | |
Richard D Smith, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343 | |
Dr. Adriaan R Herklots, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343 | |
Bronson E Terry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343 | |
Mr. Marc B Cerrone, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260 Phone: 860-928-6541 Fax: 860-963-6343 | |
Dr. Robert Moes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343 |