| Brian S Ehrlich, MD | |
|
196 Parkway South, Suite 103, Waterford, CT 06385 | |
| (860) 443-4383 | |
| (860) 443-3980 |
| Full Name | Brian S Ehrlich |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 196 Parkway South, Waterford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659329688 | NPI | - | NPPES |
| 0V9734 | Other | HELATHNET/ECCD:06-1616101 | |
| P2523176 | Other | OXFORD/ECCD: 06-1616101 | |
| 001213818 | Medicaid | CT | |
| 06-1616101 | Other | COMM. HEALTH NETWORK/ECCD | |
| 010021381CT01 | Other | ANTHEM/ECCG:06-1049086 | |
| 010021381CT04 | Other | ANTHEM/ECCD:06-1616101 | |
| 06-1616101 | Other | UNITEDHEALTHCARE/ECCD | |
| 060064821 | Other | RR MED/ECCD: 06-1616101 | |
| 001213818 | Other | BLUECARE FAMILY PLAN | |
| 021381 | Other | CONNECTICARE | |
| 030250 | Other | HEALTHNET/ECCG:06-1049086 | |
| 06-1049086 | Other | COMM. HEALTH NETWORK/ECCG | |
| 06-1049086 | Other | UNITEDHEALTHCARE/ECCG | |
| 500HBC444CT01 | Other | ANTHEM/HOSP-BASED ECCD | |
| 060014259 | Other | RR MED/ECCG: 06-1049086 | |
| NLS102 | Other | OXFORD /ECCG: 06-1049086 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 21381 (Connecticut) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian S Ehrlich, MD 196 Parkway South, Suite 103, Waterford, CT 06385 Ph: (860) 443-4383 | Brian S Ehrlich, MD 196 Parkway South, Suite 103, Waterford, CT 06385 Ph: (860) 443-4383 |
James Newman, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 230 Waterford Pkwy S, Waterford, CT 06385 Phone: 860-444-3744 | |
Meghana Rao Brito, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 Phone: 860-443-4383 | |
Jon C Gaudio, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway South, Suite 103, Waterford, CT 06385 Phone: 860-443-4383 Fax: 860-448-6797 | |
Dr. Mithlesh Govil, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 196 Parkway S, Suite 303, Waterford, CT 06385 Phone: 860-443-4455 Fax: 860-447-8961 | |
Mark N Fiengo, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway S, Suite 103, Waterford, CT 06385 Phone: 860-443-4383 Fax: 860-443-3980 | |
Mark Somers, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway South, Suite 103, Waterford, CT 06385 Phone: 860-443-4383 Fax: 860-443-3980 | |
Benjamin R Newton, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 230 Waterford Parkway South, Suite 201, Waterford, CT 06385 Phone: 860-444-3744 Fax: 860-271-4457 |