David B Gaudreau, O.d. is a medicare enrolled "Optometrist" provider in Putnam, Connecticut. Their current practice location is
169 Grove St, Putnam, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(860) 963-2020.
David B Gaudreau, O.d. is licensed to practice in Connecticut (license number 002090) and it also participates in the medicare program. David B Gaudreau, O.d.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1922279637.
Healthcare Provider's Profile
Full Name | David B Gaudreau, O.d. |
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Type | Facility |
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Speciality | Optometrist |
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Location | 169 Grove St, Putnam, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922279637
- Provider Enumeration Date: 03/20/2008
- Last Update Date: 03/20/2008
Medicare PECOS Information:
- PECOS PAC ID: 5395863252
- Enrollment ID: O20100930082201
Medical Identifiers
Medical identifiers for David B Gaudreau, O.d. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922279637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 002090 (Connecticut) | Primary |
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. David B Gaudreau, O.d. 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 Address | Practice Location Address |
David B Gaudreau, O.d. 169 Grove St, Putnam, CT 06260-2115 Ph: (860) 963-2020 | David B Gaudreau, O.d. 169 Grove St, Putnam, CT 06260-2115 Ph: (860) 963-2020 |
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