Dr Peter John Rothenberg, PHD is a medicare enrolled "Psychologist - Clinical" provider in Northford, Connecticut. He went to Yale University School Of Medicine and graduated in 1972 and has 52 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
53 Lanes Pond Rd, Northford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 484-4432.
Dr Peter John Rothenberg is licensed to practice in Connecticut (license number 000526) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972537678.
Healthcare Provider's Profile
| Full Name | Dr Peter John Rothenberg |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 52 Years |
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| Location | 53 Lanes Pond Rd, Northford, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Peter John Rothenberg attended and graduated from Yale University School Of Medicine in 1972
NPI Data:
- NPI Number: 1972537678
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 1153500723
- Enrollment ID: I20110128000055
Medical Identifiers
Medical identifiers for Dr Peter John Rothenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972537678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 000526 (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. Dr Peter John Rothenberg 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 |
|---|
Dr Peter John Rothenberg, PHD
53 Lanes Pond Rd,
Northford, CT 06472-1125
Ph: (203) 484-4432 | Dr Peter John Rothenberg, PHD
53 Lanes Pond Rd,
Northford, CT 06472-1125
Ph: (203) 484-4432 |
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