Dr Ian Charles Michelow, MD in Hartford, CT

Dr Ian Charles Michelow, MD is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Hartford, Connecticut. His current practice location is 85 Seymour St, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 545-8490.

Dr Ian Charles Michelow is licensed to practice in Connecticut (license number 70212) 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 1386634756.

Contact Information

	Dr Ian Charles Michelow, MD
	85 Seymour St, Hartford, CT 06106-5501
	(860) 545-8490
	(860) 545-9371

Map and Direction

Physician's Profile

Full Name	Dr Ian Charles Michelow
Gender	Male
Speciality	Pediatrics - Pediatric Infectious Diseases
Location	85 Seymour St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386634756
Provider Enumeration Date: 10/26/2005
Last Update Date: 05/07/2025

Medicare PECOS Information:

PECOS PAC ID: 7719878644
Enrollment ID: I20220322000651

Medical Identifiers

Medical identifiers for Dr Ian Charles Michelow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386634756	NPI	-	NPPES
MD13482	Other	RI	LICENSE
2026091	Medicaid	MA
J26918	Other	MA	BCBS MA
468557	Other	MA	TUFTS HEALTH PLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	216301 (Massachusetts)	Secondary
2080P0208X	Pediatrics - Pediatric Infectious Diseases	MD13482 (Rhode Island)	Secondary
2080P0208X	Pediatrics - Pediatric Infectious Diseases	70212 (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 Ian Charles Michelow allows following entities to bill medicare on his behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

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 Ian Charles Michelow 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 Ian Charles Michelow, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-8360	Dr Ian Charles Michelow, MD 85 Seymour St, Hartford, CT 06106-5501 Ph: (860) 545-8490

Reviews and Comments

Pediatrics Doctors in Hartford, CT

Dr. Irfan Ahmed Warsy, MBBS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9147 Fax: 860-545-9147
Ryan Ciarlo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-837-5560
James Hagadorn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-8950 Fax: 860-545-8945
Craig Schramm, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9440 Fax: 860-545-9445
Mrs. Catherine Clinton Wiley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington Street, Hartford, CT 06106 Phone: 860-545-9300 Fax: 860-545-9301
Melissa Held, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9000 Fax: 860-545-9969
Adam Silverman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9200 Fax: 860-545-9134

Dr Ian Charles Michelow, MD - Medicare Pediatrics in Hartford, CT