Dr David E Sowa, MD - Medicare Obstetrics/gynecology in Plainville, CT

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Dr David E Sowa, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Plainville, Connecticut. He went to University Of Louisville School Of Medicine and graduated in 1985 and has 40 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Starling Physicians, Pllc and his current practice location is 184 East St, Grove Hill Medical Center, Plainville, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 747-0730.

Dr David E Sowa is licensed to practice in Connecticut (license number 029591) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104813377.

Contact Information

Dr David E Sowa, MD
184 East St, Grove Hill Medical Center,
Plainville, CT 06062-2913
(860) 747-0730
(860) 747-2028

Map and Direction




Physician's Profile

Full NameDr David E Sowa
GenderMale
SpecialityObstetrics/gynecology
Experience40 Years
Location184 East St, Plainville, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David E Sowa attended and graduated from University Of Louisville School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1104813377
  • Provider Enumeration Date: 10/04/2005
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0446399315
  • Enrollment ID: I20091207000156

Medical Identifiers

Medical identifiers for Dr David E Sowa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104813377NPI-NPPES
004196095MedicaidCT
1255448144OtherCTGHMC GROUP NPI ID
482005OtherCTAETNA
P369836OtherCTOXFORD
001295915MedicaidCT
160031240OtherCTRAIL ROAD MEDICARE
01029591OtherCTCIGNA
010029591CT01OtherCTBCBS & BCFP ID
2959101OtherCTCONNECTICARE
368793OtherCTWELLCARE MEDICARE
060027OtherCTHEALTH NET

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 029591 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Hospital Of Central ConnecticutNew britain, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Starling Physicians, Pllc7517863749237

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. Dr David E Sowa allows following entities to bill medicare on his behalf.
Entity NameStarling Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467537290
PECOS PAC ID: 7517863749
Enrollment ID: O20031209000877
Entity NameThe Hospital Of Connecticut At New Britain And Bradley Memorial
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063461481
PECOS PAC ID: 6507776564
Enrollment ID: O20040115000497

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. Dr David E Sowa 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 AddressPractice Location Address
Dr David E Sowa, MD
300 Kensington Ave, Grove Hill Medical Center,
New Britain, CT 06051-3916

Ph: (860) 747-0730		Dr David E Sowa, MD
184 East St, Grove Hill Medical Center,
Plainville, CT 06062-2913

Ph: (860) 747-0730

Reviews and Comments


Obstetrics & Gynecology Doctors in Plainville, CT

Dr. Karen P Haverly, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 184 East St, Plainville, CT 06062
Phone: 860-747-5766    Fax: 860-747-2028

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.