| Dr Peter J Ellis, MD | |
|
1625 Straits Tpke, Middlebury, CT 06762-1805 | |
| (203) 758-8107 | |
| (203) 568-2924 |
| Full Name | Dr Peter J Ellis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 1625 Straits Tpke, Middlebury, 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 |
|---|---|---|---|
| 1912971599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 034548 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yale University | 9436061736 | 2389 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter J Ellis, MD 1625 Straits Tpke, Suite #201, Middlebury, CT 06762-1805 Ph: (203) 573-9512 | Dr Peter J Ellis, MD 1625 Straits Tpke, Middlebury, CT 06762-1805 Ph: (203) 758-8107 |
Sina Raissi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Straits Tpke, Middlebury, CT 06762 Phone: 203-758-1800 Fax: 203-758-1804 | |
David A Roer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 850 Straits Tpke, Middlebury, CT 06762 Phone: 203-758-1800 Fax: 203-758-1804 | |
Mira Rho, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Straits Tpke, Suite 102, Middlebury, CT 06762 Phone: 203-758-1800 Fax: 203-758-1804 | |
Gregory K. Buller, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Straits Tpke, Middlebury, CT 06762 Phone: 203-758-1800 Fax: 203-758-1804 | |
Jonathan D Parkhurst, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1625 Straits Tpke Ste 110, Middlebury, CT 06762 Phone: 203-758-8107 Fax: 203-575-5225 | |
Suphichaya Muangman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1625 Straits Tpke, Suite 209, Middlebury, CT 06762 Phone: 203-758-9100 Fax: 203-758-9400 | |
Dr. Jane D Cooper, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1625 Straits Tpke, Suite #301, Middlebury, CT 06762 Phone: 203-573-7281 Fax: 203-573-7230 |