Dr Edward Prior, MD - Medicare Internal Medicine in West Haven, CT

Dr Edward Prior, MD is a medicare enrolled "Internal Medicine" physician in West Haven, Connecticut. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1978 and has 46 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Margaret Chustecka Internal Medicine Of Greater New Haven and his current practice location is 687 Campbell Ave, West Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 932-6481.

Dr Edward Prior is licensed to practice in Connecticut (license number 026944) 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 1336130293.

Contact Information

Dr Edward Prior, MD
687 Campbell Ave,
West Haven, CT 06516-3774
(203) 932-6481
(203) 932-4051

Map and Direction




Physician's Profile

Full NameDr Edward Prior
GenderMale
SpecialityInternal Medicine
Experience46 Years
Location687 Campbell Ave, West Haven, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Edward Prior attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1978
  NPI Data:
  • NPI Number: 1336130293
  • Provider Enumeration Date: 10/31/2005
  • Last Update Date: 04/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7618011255
  • Enrollment ID: I20100219000220

Medical Identifiers

Medical identifiers for Dr Edward Prior such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336130293NPI-NPPES
001269449MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 026944 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Margaret Chustecka Internal Medicine Of Greater New Haven327455715222

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. Dr Edward Prior allows following entities to bill medicare on his behalf.
Entity NameMargaret Chustecka Internal Medicine Of Greater New Haven
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053344473
PECOS PAC ID: 3274557152
Enrollment ID: O20060118000578

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 Edward Prior 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 AddressPractice Location Address
Dr Edward Prior, MD
322 E Main St Ste 1b,
Branford, CT 06405-3136

Ph: (203) 488-7228
Dr Edward Prior, MD
687 Campbell Ave,
West Haven, CT 06516-3774

Ph: (203) 932-6481

Reviews and Comments


Internal Medicine Doctors in West Haven, CT

Laurence Knoll, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 385 Main Street, West Haven, CT 06516
Phone: 203-932-8080    Fax: 203-932-8388
Mehran Pouresmail, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Va Hospital,950 Campbell Ave, West Haven, CT 06516
Phone: 203-932-5711    
Dr. Judith L Meadows, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 950 Campbell Avenue, Va Connecticut Healthcare, West Haven, CT 06510
Phone: 203-932-5711    
Dr. Kenneth Leroy Cohen, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 950 Campbell Ave, Emergency Room/11c, West Haven, CT 06516
Phone: 203-937-4777    Fax: 203-937-4854
Gary Vincent Desir, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 950 Campbell Ave, West Haven, CT 06516
Phone: 203-932-5711    
Parul U Gandhi, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 950 Campbell Ave, West Haven, CT 06516
Phone: 203-932-5711    
Chioma U Nwokolo Nwangwu, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 385 Main Street, Suite 2, West Haven, CT 06516
Phone: 203-931-1073    Fax: 203-931-1145

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.