| Dr Patrick F Doherty, MD | |
|
194 Howard St Ste 3, New London, CT 06320-5544 | |
| (860) 442-0564 | |
| Not Available |
| Full Name | Dr Patrick F Doherty |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 33 Years |
| Location | 194 Howard St Ste 3, New London, 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 |
|---|---|---|---|
| 1578620282 | NPI | - | NPPES |
| 001374602 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 037460 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atrinity Home Health | Wallingford, CT | Home health agency |
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Westerly Hospital | Westerly, RI | Hospital |
| Yale-new Haven Hospital | New haven, CT | Hospital |
| William W Backus Hospital | Norwich, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yale University | 9436061736 | 2632 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick F Doherty, MD 194 Howard St, Suite 3 West, New London, CT 06320 Ph: (860) 442-0564 | Dr Patrick F Doherty, MD 194 Howard St Ste 3, New London, CT 06320-5544 Ph: (860) 442-0564 |
Dr. Ronald Paul Hantman, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 50 Fair Harbour Pl, New London, CT 06320 Phone: 860-442-0564 Fax: 860-439-0808 |