Carol J Fiftal, MD in Groton, CT - Medicare Pediatrics

Carol J Fiftal, MD is a medicare enrolled "Pediatrics" physician in Groton, Connecticut. Her current practice location is 495 Gold Star Hwy, Suite 120, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 449-8882.

Carol J Fiftal is licensed to practice in Connecticut (license number 032252) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548331374.

Contact Information

	Carol J Fiftal, MD
	495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228
	(860) 449-8882
	(860) 449-9195

Map and Direction

Physician's Profile

Full Name	Carol J Fiftal
Gender	Female
Speciality	Pediatrics
Location	495 Gold Star Hwy, Groton, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548331374
Provider Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6901078294
Enrollment ID: I20111010000471

Medical Identifiers

Medical identifiers for Carol J Fiftal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548331374	NPI	-	NPPES
010032252CT02	Other		BLUE CROSS BLUE SHIELD
001322528	Medicaid	CT
2213688-003	Other		CIGNA
030238	Other		HEALTH NET
5761082	Other		AETNA
721293	Other		CIGNA
NLP056	Other		OXFORD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	032252 (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. Carol J Fiftal allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Carol J Fiftal 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
Carol J Fiftal, MD 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 Ph: (860) 449-8882	Carol J Fiftal, MD 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 Ph: (860) 449-8882

Reviews and Comments

Pediatrics Doctors in Groton, CT

Michael E Blefeld, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340 Phone: 860-449-8882 Fax: 860-449-9195
Amy Reynolds, CRNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-2493
Anna-marie L Melchreit, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340 Phone: 860-449-8882 Fax: 869-449-9195
Margaret Gross, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-7524 Fax: 860-694-1209
Dr. James Joseph Fritz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Rt 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590
Mary A Glenn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340 Phone: 860-449-8882 Fax: 860-449-9195

Carol J Fiftal, MD - Medicare Pediatrics in Groton, CT