Dr Kevin J Connolly, MD is a medicare enrolled "Family Medicine" physician in Bradford, Vermont. He went to Geisel School Of Medicine At Dartmouth and graduated in 1983 and has 41 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Little Rivers Health Care, Inc. and his current practice location is
437 S Main St, Bradford, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 222-5562.
Dr Kevin J Connolly is licensed to practice in Vermont (license number 0420009101) 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 1124061650.
Physician's Profile
| Full Name | Dr Kevin J Connolly |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 41 Years |
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| Location | 437 S Main St, Bradford, Vermont |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kevin J Connolly attended and graduated from Geisel School Of Medicine At Dartmouth in 1983
NPI Data:
- NPI Number: 1124061650
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 08/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 6901824671
- Enrollment ID: I20060327000338
Medical Identifiers
Medical identifiers for Dr Kevin J Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124061650 | NPI | - | NPPES |
| 110105365 | Other | VT | RAIL ROAD MEDICARE |
| OVN1126 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0420009101 (Vermont) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Little Rivers Health Care, Inc. | 8224031497 | 20 |
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 Kevin J Connolly allows following entities to bill medicare on his behalf.
| Entity Name | Little Rivers Health Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033163555
PECOS PAC ID: 8224031497
Enrollment ID: O20061003000417 |
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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 Kevin J Connolly 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 |
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Dr Kevin J Connolly, MD
P O Box 318,
Bradford, VT 05033-0338
Ph: (802) 222-5562 | Dr Kevin J Connolly, MD
437 S Main St,
Bradford, VT 05033-8877
Ph: (802) 222-5562 |
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