Dr Roland Martin Jermyn Iii, MD in Bridgeport, CT

Dr Roland Martin Jermyn Iii, MD is a medicare enrolled "Emergency Medicine" physician in Bridgeport, Connecticut. His current practice location is 267 Grant St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 384-3256.

Dr Roland Martin Jermyn Iii is licensed to practice in Connecticut (license number 047368) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114101177.

Contact Information

	Dr Roland Martin Jermyn Iii, MD
	267 Grant St, Bridgeport, CT 06610-2805
	(203) 384-3256
	(203) 384-4037

Map and Direction

Physician's Profile

Full Name	Dr Roland Martin Jermyn Iii
Gender	Male
Speciality	Emergency Medicine
Location	267 Grant St, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114101177
Provider Enumeration Date: 12/26/2007
Last Update Date: 05/09/2012

Medicare PECOS Information:

PECOS PAC ID: 7911059514
Enrollment ID: I20090713000236

Medical Identifiers

Medical identifiers for Dr Roland Martin Jermyn Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114101177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	047368 (Connecticut)	Primary

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 Roland Martin Jermyn Iii allows following entities to bill medicare on his behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093862740 PECOS PAC ID: 9436061736 Enrollment ID: O20031124000690

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 Roland Martin Jermyn Iii 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
Dr Roland Martin Jermyn Iii, MD 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3256	Dr Roland Martin Jermyn Iii, MD 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3256

Reviews and Comments

Emergency Medicine Doctors in Bridgeport, CT

Dr. Tanya Dhiren Shah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Dr. Kevin J Sprague Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Emergency Department, Bridgeport, CT 06606 Phone: 203-576-5604
Sally Syaunan Chao, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 Main St, St. Vincent Medical Center, Bridgeport, CT 06606 Phone: 203-576-5177
Kimberly Anne Reade, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Emergency Department, Bridgeport, CT 06606 Phone: 203-576-5604
Dr. Jonathan Maisel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490
Samantha Dane, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St. Vincent Medical Center, Bridgeport, CT 06606 Phone: 203-576-5177

Dr Roland Martin Jermyn Iii, MD - Medicare Emergency Medicine in Bridgeport, CT