| Dr Peter Paul Bertolozzi Jr, DO | |
|
255 Michelle Ln, Apt 306, Groton, CT 06340-4239 | |
| (617) 448-1589 | |
| Not Available |
| Full Name | Dr Peter Paul Bertolozzi Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 18 Years |
| Location | 255 Michelle Ln, Groton, 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 |
|---|---|---|---|
| 1588841068 | NPI | - | NPPES |
| 5315031607 | Other | MI | CONTROLLED SUBSTANCE LIS |
| 5101017291 | Other | MI | EDUCATION LISCENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 49914 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Westerly Hospital | Westerly, RI | Hospital |
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lawrence And Memorial Hospital Inc. | 5991792053 | 44 |
| Lmw Healthcare Inc | 7012155112 | 22 |
| Entity Name | Manchester Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457399198 PECOS PAC ID: 4486647534 Enrollment ID: O20040406000161 |
| Entity Name | Lawrence And Memorial Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073530879 PECOS PAC ID: 5991792053 Enrollment ID: O20040429001142 |
| Entity Name | Emergency Medicine Physicians Of New Haven County,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083910962 PECOS PAC ID: 4284819764 Enrollment ID: O20110427000166 |
| Entity Name | Prospect Rockville Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205283538 PECOS PAC ID: 4880988211 Enrollment ID: O20160913001880 |
| Entity Name | Prospect Manchester Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Paul Bertolozzi Jr, DO 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 | Dr Peter Paul Bertolozzi Jr, DO 255 Michelle Ln, Apt 306, Groton, CT 06340-4239 Ph: (617) 448-1589 |
Kilbourn Gordon Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 Route 12, Groton, CT 06340 Phone: 860-650-3848 |