Anthony D Congiusta, MD, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Norwich, Connecticut. His current practice location is
159 Sachem St, Norwich, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 885-0444.
Anthony D Congiusta is licensed to practice in Connecticut (license number 13740) 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 1952753964.
Physician's Profile
Full Name | Anthony D Congiusta |
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Gender | Male |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
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Location | 159 Sachem St, Norwich, 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: 1952753964
- Provider Enumeration Date: 07/01/2016
- Last Update Date: 05/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446548762
- Enrollment ID: I20161019000716
Medical Identifiers
Medical identifiers for Anthony D Congiusta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952753964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 75128 (Connecticut) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13740 (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. Anthony D Congiusta 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 |
Anthony D Congiusta, MD, DDS 630 Pierce St, Philadelphia, PA 19148-1720 Ph: (917) 359-6088 | Anthony D Congiusta, MD, DDS 159 Sachem St, Norwich, CT 06360-4144 Ph: (860) 885-0444 |
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