| Dr Chadi Berjaoui, MD | |
|
19 Halls Rd, Old Lyme, CT 06371-1457 | |
| (860) 434-8300 | |
| (860) 865-2388 |
| Full Name | Dr Chadi Berjaoui |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 19 Halls Rd, Old Lyme, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366893281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R75735 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | 57761 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | 76411 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Westerly Hospital | Westerly, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| 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 |
|---|---|
| Dr Chadi Berjaoui, MD 19 Halls Rd, Old Lyme, CT 06371-1457 Ph: (860) 434-8300 | Dr Chadi Berjaoui, MD 19 Halls Rd, Old Lyme, CT 06371-1457 Ph: (860) 434-8300 |
Rhoda Asimeng, DO, MS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Vista Dr, Old Lyme, CT 06371 Phone: 860-434-8847 | |
Jay Allan Graves, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300 | |
Suresh Cec Il D'mello, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300 | |
Ms. Kimberly Shanice Reid, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 8 Vista Dr, Old Lyme, CT 06371 Phone: 860-434-8847 | |
Terrence A Doherty, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300 Fax: 860-865-2388 | |
Karl R. Friedmann, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 40 Coult Lane, Old Lyme, CT 06371 Phone: 860-434-2783 Fax: 860-434-2783 |