| Dr Christofer John Fort, MD | |
|
7 Village Green Dr, Litchfield, CT 06759-3433 | |
| (860) 567-0130 | |
| (860) 567-0125 |
| Full Name | Dr Christofer John Fort |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 12 Years |
| Location | 7 Village Green Dr, Litchfield, 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 |
|---|---|---|---|
| 1366856817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 56411 (Connecticut) | Secondary |
| 207R00000X | Internal Medicine | 56411 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charlotte Hungerford Hospital | Torrington, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Inc | 1153573902 | 223 |
| 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 |
| Entity Name | The Charlotte Hungerford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183 |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christofer John Fort, MD 130 Ct Rte 37, New Fairfield, CT 06812 Ph: (203) 746-6000 | Dr Christofer John Fort, MD 7 Village Green Dr, Litchfield, CT 06759-3433 Ph: (860) 567-0130 |
Dr. Charles L.h. Staub, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 Bantam Rd, Litchfield, CT 06759 Phone: 860-567-9493 Fax: 860-567-3933 | |
Dr. Terrence Ryan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 340 Bantam Rd, Litchfield, CT 06759 Phone: 860-567-9493 Fax: 860-567-3933 |