Mary T Pronovost, MD in Bridgeport, CT - Medicare General Surgery

Mary T Pronovost, MD is a medicare enrolled "Surgery" physician in Bridgeport, Connecticut. She went to Temple University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Temple Faculty Practice Plan Inc and her current practice location is 226 Mill Hill Ave, 3rd Floor, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 384-3873.

Mary T Pronovost is licensed to practice in Connecticut (license number 037703) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851350011.

Contact Information

	Mary T Pronovost, MD
	226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2811
	(203) 384-3873
	(203) 384-3829

Map and Direction

Physician's Profile

Full Name	Mary T Pronovost
Gender	Female
Speciality	General Surgery
Experience	33 Years
Location	226 Mill Hill Ave, Bridgeport, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary T Pronovost attended and graduated from Temple University School Of Medicine in 1991

NPI Data:

NPI Number: 1851350011
Provider Enumeration Date: 03/17/2006
Last Update Date: 09/16/2016

Medicare PECOS Information:

PECOS PAC ID: 9032019344
Enrollment ID: I20201019000302

Medical Identifiers

Medical identifiers for Mary T Pronovost such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851350011	NPI	-	NPPES
001377036	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	037703 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Temple University Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Temple Faculty Practice Plan Inc	0345588711	1063

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. Mary T Pronovost allows following entities to bill medicare on her behalf.

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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. Mary T Pronovost 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
Mary T Pronovost, MD 5520 Park Ave, Suite 101, Trumbull, CT 06611-3463 Ph: (203) 254-2381	Mary T Pronovost, MD 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2811 Ph: (203) 384-3873

Reviews and Comments

Surgery Doctors in Bridgeport, CT

Dr. Jitendra Bhagwandas Bharucha, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2660 Main St, Suite 110, Bridgeport, CT 06606 Phone: 203-332-4744 Fax: 203-333-4751
Dr. Vincent A Manjoney Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2720 Main St, 3rd Floor South, Bridgeport, CT 06606 Phone: 203-579-7500 Fax: 203-576-0035
Andrew S Kenler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829
William R Butler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829
Dr. Felix B Mpuku, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3180 Main St, Suite 305, Bridgeport, CT 06606 Phone: 203-372-6322 Fax: 203-371-8930
Alisa Savetamal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829
Eric Tsung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000

Mary T Pronovost, MD - Medicare General Surgery in Bridgeport, CT