| Dr David Martin Wilterdink, MD | |
|
45 Green Hollow Rd, Danielson, CT 06239-3509 | |
| (860) 774-1255 | |
| (860) 779-2059 |
| Full Name | Dr David Martin Wilterdink |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 45 Years |
| Location | 45 Green Hollow Rd, Danielson, 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 |
|---|---|---|---|
| 1538144548 | NPI | - | NPPES |
| 001237593 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023759 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | 023759 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Day Kimball Hospital | Putnam, CT | Hospital |
| Pierce Mem Baptist Home | Brooklyn, CT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Day Kimball Medical Group Inc | 1557514411 | 68 |
| Entity Name | Nes Medical Services Of Northern Connecticut, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447231865 PECOS PAC ID: 7315843968 Enrollment ID: O20040112000084 |
| Entity Name | Day Kimball Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376813972 PECOS PAC ID: 1557514411 Enrollment ID: O20130102000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Martin Wilterdink, MD 45 Green Hollow Rd, Danielson, CT 06239-3509 Ph: (860) 774-1255 | Dr David Martin Wilterdink, MD 45 Green Hollow Rd, Danielson, CT 06239-3509 Ph: (860) 774-1255 |
Dr. Alan Patrick Ruiz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Green Hollow Rd, Danielson, CT 06239 Phone: 860-774-1255 Fax: 860-779-2059 | |
Joseph Alessandro, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Westcott Rd, Danielson, CT 06239 Phone: 860-774-9540 Fax: 800-208-7705 | |
Dr. Anthony John Purcell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Green Hollow Rd, Danielson, CT 06239 Phone: 860-774-1255 Fax: 860-779-2059 | |
Catherine Shafts, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 54 Reynolds St, Danielson, CT 06239 Phone: 860-774-7501 Fax: 860-779-2191 | |
Mrs. Carrie Ann Waldron, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Westcott Rd, Danielson, CT 06239 Phone: 860-774-9540 | |
Dr. Marguerite Mary Davis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 45 Green Hollow Rd, Danielson, CT 06239 Phone: 860-774-1255 Fax: 860-779-2059 | |
Dr. Philip Rufus Raiford, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 45 Green Hollow Rd, Danielson, CT 06239 Phone: 860-774-1255 Fax: 860-779-2059 |