Dr Herbert Joseph Dimeola, MD is a medicare enrolled "Hospitalist" physician in Stafford Springs, Connecticut. His current practice location is
201 Chestnut Hill Rd, Stafford Springs, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 272-2916.
Dr Herbert Joseph Dimeola is licensed to practice in Connecticut (license number 014237) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528024015.
Physician's Profile
| Full Name | Dr Herbert Joseph Dimeola |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 201 Chestnut Hill Rd, Stafford Springs, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528024015
- Provider Enumeration Date: 04/24/2006
- Last Update Date: 06/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608855192
- Enrollment ID: I20040802001437
Medical Identifiers
Medical identifiers for Dr Herbert Joseph Dimeola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528024015 | NPI | - | NPPES |
| 001142371 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 014237 (Connecticut) | Secondary |
| 208M00000X | Hospitalist | 014237 (Connecticut) | Primary |
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 Herbert Joseph Dimeola allows following entities to bill medicare on his behalf.
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
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| Entity Name | Prime Healthcare, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184819302 PECOS PAC ID: 6709787930 Enrollment ID: O20040121000411 |
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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 Herbert Joseph Dimeola 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 Address | Practice Location Address |
Dr Herbert Joseph Dimeola, MD Po Box 789, Ludlow, MA 01056-0789 Ph: (413) 509-1000 | Dr Herbert Joseph Dimeola, MD 201 Chestnut Hill Rd, Stafford Springs, CT 06076 Ph: (860) 272-2916 |
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