| Lauren Marcus Doherty, MD | |
|
365 Montauk Ave, Room 4.512, New London, CT 06320-4700 | |
| (860) 442-0711 | |
| (860) 444-5114 |
| Full Name | Lauren Marcus Doherty |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 365 Montauk Ave, New London, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306937255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 044617 (Connecticut) | Primary |
| 208M00000X | Hospitalist | 044617 (Connecticut) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Marcus Doherty, MD 365 Montauk Ave Rm 4.512, New London, CT 06320-4700 Ph: (860) 442-0711 | Lauren Marcus Doherty, MD 365 Montauk Ave, Room 4.512, New London, CT 06320-4700 Ph: (860) 442-0711 |
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 |