Mr Jeffrey William Worgul, MS is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Waterford, Connecticut. His current practice location is
167 Parkway N, Waterford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 443-6944.
Mr Jeffrey William Worgul is licensed to practice in Connecticut (license number 070) 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 1104964360.
Healthcare Provider's Profile
| Full Name | Mr Jeffrey William Worgul |
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| Gender | Male |
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| Speciality | Audiologist-hearing Aid Fitter |
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| Location | 167 Parkway N, Waterford, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104964360
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365405271
- Enrollment ID: I20070501000609
Medical Identifiers
Medical identifiers for Mr Jeffrey William Worgul such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104964360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | 070 (Connecticut) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 070 (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. Mr Jeffrey William Worgul allows following entities to bill medicare on his behalf.
| Provider Name | Shoreline Audiology, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336343243 PECOS PAC ID: 0446343461 Enrollment ID: O20070907000371 |
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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. Mr Jeffrey William Worgul 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 |
Mr Jeffrey William Worgul, MS 167 Parkway N, Waterford, CT 06385-1200 Ph: (860) 443-6944 | Mr Jeffrey William Worgul, MS 167 Parkway N, Waterford, CT 06385-1200 Ph: (860) 443-6944 |
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