| Dr William H Kober, MD | |
|
91 Voluntown Rd, Pawcatuck, CT 06379-1366 | |
| (860) 599-5477 | |
| (860) 599-5676 |
| Full Name | Dr William H Kober |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 91 Voluntown Rd, Pawcatuck, 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 |
|---|---|---|---|
| 1396724134 | NPI | - | NPPES |
| D400040801 | Other | CT | MEDIARE |
| J14465 | Other | MA | BLUE CROSS PROVIDER ID |
| 008008071 | Medicaid | CT | |
| 9784535 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 027036 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Masonicare Home Health & Hospice, Inc | Wallingford, CT | Home health agency |
| Yale New Haven Health - Health At Home Southeast | Waterford, CT | Home health agency |
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Westerly Hospital | Westerly, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1357 |
| 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 William H Kober, MD 91 Voluntown Rd, Pawcatuck, CT 06379-1366 Ph: (860) 599-5477 | Dr William H Kober, MD 91 Voluntown Rd, Pawcatuck, CT 06379-1366 Ph: (860) 599-5477 |
Brenda Louise Applegate, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 91 Voluntown Rd, Pawcatuck, CT 06379 Phone: 860-599-5477 Fax: 860-599-5676 |