| Dr David R Kull, MD, MPH | |
|
263 Farmington Ave, Farmington, CT 06030-8063 | |
| (860) 679-8080 | |
| (860) 679-1430 |
| Full Name | Dr David R Kull |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235523648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 2023024276 (Missouri) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 082883 (Connecticut) | Primary |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David R Kull, MD, MPH 263 Farmington Ave, Farmington, CT 06030-8082 Ph: (860) 679-8080 | Dr David R Kull, MD, MPH 263 Farmington Ave, Farmington, CT 06030-8063 Ph: (860) 679-8080 |
Zachary Tallent Solomon, Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3467 | |
Jeffery Spiro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 | |
Brendan Gontarz, MD Surgery Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3467 Fax: 860-679-1460 | |
Dr. Jeffrey Erwin Indes, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-8080 Fax: 860-679-1420 | |
Dr. David W Mcfadden, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, General Surgery, Farmington, CT 06030 Phone: 860-679-8080 Fax: 860-679-1420 | |
Peter Deckers, Surgery Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 | |
Dr. Jillian Lea Fortier, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Residency Administration- Ag093, Farmington, CT 06030 Phone: 860-679-2147 |