Dr Peter Paul Bertolozzi Jr, DO is a medicare enrolled "Emergency Medicine" physician in Groton, Connecticut. He graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lmw Healthcare Inc, Lawrence And Memorial Hospital Inc. and his current practice location is
255 Michelle Ln, Apt 306, Groton, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(617) 448-1589.
Dr Peter Paul Bertolozzi Jr is licensed to practice in Connecticut (license number 49914) 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 1588841068.
Physician's Profile
| Full Name | Dr Peter Paul Bertolozzi Jr |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 19 Years |
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| Location | 255 Michelle Ln, Groton, Connecticut |
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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 Peter Paul Bertolozzi Jr graduated from medical school in 2007
NPI Data:
- NPI Number: 1588841068
- Provider Enumeration Date: 01/27/2008
- Last Update Date: 03/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 7517018427
- Enrollment ID: I20180115000397
Medical Identifiers
Medical identifiers for Dr Peter Paul Bertolozzi Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588841068 | NPI | - | NPPES |
| 5315031607 | Other | MI | CONTROLLED SUBSTANCE LIS |
| 5101017291 | Other | MI | EDUCATION LISCENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 49914 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lmw Healthcare Inc | 7012155112 | 25 |
| Lawrence And Memorial Hospital Inc. | 5991792053 | 49 |
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 Peter Paul Bertolozzi Jr allows following entities to bill medicare on his behalf.
| Entity Name | Lmw Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447595368
PECOS PAC ID: 7012155112
Enrollment ID: O20190520001320 |
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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 Peter Paul Bertolozzi Jr 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 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 |
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