Douglas Dufore, PHD in Old Saybrook, CT - Medicare Psychologist Provider

Douglas Dufore, PHD is a medicare enrolled "Psychologist - Clinical" provider in Old Saybrook, Connecticut. His current practice location is 633 Middlesex Tpke, Suite 110, Old Saybrook, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 510-0225.

Douglas Dufore is licensed to practice in Connecticut (license number 002793) 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 1174607113.

Contact Information

	Douglas Dufore, PHD
	633 Middlesex Tpke, Suite 110, Old Saybrook, CT 06475-1220
	(860) 510-0225
	(860) 395-1647

Map and Direction

Healthcare Provider's Profile

Full Name	Douglas Dufore
Gender	Male
Speciality	Psychologist - Clinical
Location	633 Middlesex Tpke, Old Saybrook, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174607113
Provider Enumeration Date: 10/25/2006
Last Update Date: 09/20/2013

Medicare PECOS Information:

PECOS PAC ID: 1456580497
Enrollment ID: I20140214001040

Medical Identifiers

Medical identifiers for Douglas Dufore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174607113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	002793 (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. Douglas Dufore allows following entities to bill medicare on his behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Douglas Dufore 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
Douglas Dufore, PHD 633 Middlesex Tpke, Suite 110, Old Saybrook, CT 06475-1220 Ph: (860) 510-0225	Douglas Dufore, PHD 633 Middlesex Tpke, Suite 110, Old Saybrook, CT 06475-1220 Ph: (860) 510-0225

Reviews and Comments

Psychologist in Old Saybrook, CT

Dr. Ann Louise Vandermaelen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 191 Main St, Suite 2, Old Saybrook, CT 06475 Phone: 860-388-3844 Fax: 860-388-1689
Marguerite Ruppenicker, PH. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 49 Sherwood Ter, Basement Level, Old Saybrook, CT 06475 Phone: 860-388-9882 Fax: 860-388-9882
Dr. Mark David Aron, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 263 Main St, Suite 304, Old Saybrook, CT 06475 Phone: 860-388-1313
Carla Ratti, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020
Dr. Leonard G. Guitar, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 154 Main St, Old Saybrook, CT 06475 Phone: 860-358-3923 Fax: 860-510-0628
Dr. Debra Ellen Mashberg, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0763

Douglas Dufore, PHD - Medicare Psychologist in Old Saybrook, CT