| Kyle Custis, MD | |
|
129 Kings Hwy N, Westport, CT 06880-2438 | |
| (203) 221-3030 | |
| Not Available |
| Full Name | Kyle Custis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 129 Kings Hwy N, Westport, 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 |
|---|---|---|---|
| 1376574178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 044385 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Danbury Hospital | Danbury, CT | Hospital |
| Norwalk Hospital | Norwalk, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nuvance Health Medical Practice Ct Inc | 4789597691 | 694 |
| Entity Name | Nuvance Health Medical Practice Ct Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130 |
| Entity Name | Bridgeport Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649260845 PECOS PAC ID: 2062312598 Enrollment ID: O20040120000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Custis, MD 19 Treadwell Ln, Weston, CT 06883-1949 Ph: (203) 223-9167 | Kyle Custis, MD 129 Kings Hwy N, Westport, CT 06880-2438 Ph: (203) 221-3030 |
Rosario Giacomini, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Post Rd E Ste 102, Westport, CT 06880 Phone: 203-221-3830 Fax: 203-254-0300 | |
Casandra Nowicki, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Riverside Ave, Westport, CT 06880 Phone: 203-221-3030 | |
Ms. Anne Fuller Rutherford, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9 Old Hill Rd, Westport, CT 06880 Phone: 203-981-9001 Fax: 203-981-9001 | |
Maryam Syed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Post Rd E, Westport, CT 06880 Phone: 203-221-3830 | |
Suzanna Yu, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Riverside Ave, Westport, CT 06880 Phone: 203-221-3030 Fax: 203-221-3131 | |
Dr. Sachin Modi, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 830 Post Rd E, Westport, CT 06880 Phone: 203-291-3800 Fax: 203-291-3810 |