Kenneth Wayne Donovan, MD in New London, CT - Medicare Internal Medicine

Kenneth Wayne Donovan, MD is a medicare enrolled "Internal Medicine" physician in New London, Connecticut. He went to Tufts University School Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospital Medicine Associates Llc, Hospital Medicine Associates Llc and his current practice location is 365 Montauk Ave, Room 4.512, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 442-0711.

Kenneth Wayne Donovan is licensed to practice in Connecticut (license number 042916) 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 1669447207.

Contact Information

	Kenneth Wayne Donovan, MD
	365 Montauk Ave, Room 4.512, New London, CT 06320-4700
	(860) 442-0711
	(860) 444-5114

Map and Direction

Physician's Profile

Full Name	Kenneth Wayne Donovan
Gender	Male
Speciality	Internal Medicine
Experience	29 Years
Location	365 Montauk Ave, New London, 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.

Medical Education and Training:

Kenneth Wayne Donovan attended and graduated from Tufts University School Of Medicine in 1997

NPI Data:

NPI Number: 1669447207
Provider Enumeration Date: 02/17/2006
Last Update Date: 05/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4981653714
Enrollment ID: I20050119000079

Medical Identifiers

Medical identifiers for Kenneth Wayne Donovan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669447207	NPI	-	NPPES
001429168	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD12478 (Rhode Island)	Secondary
207R00000X	Internal Medicine	042916 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hartford Healthcare At Home	Bloomfield, CT	Hospice
Masonicare Home Health And Hospice Inc	Wallingford, CT	Hospice
Lawrence & Memorial Hospital	New london, CT	Hospital
Middlesex Hospital	Middletown, CT	Hospital
Pendleton Health & Rehabilitation Center	Mystic, CT	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospital Medicine Associates Llc	9234156985	177
Hospital Medicine Associates Llc	9234156985	177

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. Kenneth Wayne Donovan allows following entities to bill medicare on his behalf.

Entity Name	Hospital Medicine Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20170802002619

Entity Name	Connecticut Post Acute Medical Services 1 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558890467 PECOS PAC ID: 5092089755 Enrollment ID: O20170919001161

Entity Name	Ma Pacs 2 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265918791 PECOS PAC ID: 4284983628 Enrollment ID: O20200717000540

Entity Name	Cs Pacs 3 Northeast, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093598898 PECOS PAC ID: 0941656607 Enrollment ID: O20240805002825

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. Kenneth Wayne Donovan 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
Kenneth Wayne Donovan, MD 365 Montauk Ave, Room 4.512, New London, CT 06320-4700 Ph: (860) 442-0711	Kenneth Wayne Donovan, MD 365 Montauk Ave, Room 4.512, New London, CT 06320-4700 Ph: (860) 442-0711

Reviews and Comments

Internal Medicine Doctors in New London, CT

Yardley Brice, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Syeda Kanza Afzal, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Dr. Pradnya Velankar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Mical S Campbell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Coastal Digestive Diseases, 234a Bank St, New London, CT 06320 Phone: 860-442-0290 Fax: 860-442-2136
Suzanne J Klekotka, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 155 Montauk Ave, New London, CT 06320 Phone: 860-444-2223 Fax: 860-440-3153
Dr. John Edward Madsen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 234a Bank St, New London, CT 06320 Phone: 860-442-0290 Fax: 860-442-2136
Robert J Keltner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Montauk Avenue, New London, CT 06320 Phone: 860-444-2223 Fax: 860-440-3153

Kenneth Wayne Donovan, MD - Medicare Internal Medicine in New London, CT