| Matthew J Spates, MD | |
|
326 Washington St, The William W. Backus Hospital, Norwich, CT 06360-2740 | |
| (860) 889-8331 | |
| Not Available |
| Full Name | Matthew J Spates |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 326 Washington St, Norwich, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134228281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 039491 (Connecticut) | Primary |
| 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 |
| Entity Name | The William W Backus Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Spates, MD 66 Main St, Stonington, CT 06378-1332 Ph: (401) 749-2064 | Matthew J Spates, MD 326 Washington St, The William W. Backus Hospital, Norwich, CT 06360-2740 Ph: (860) 889-8331 |
Dr. Daniel Fagnant, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Susan L Collemer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Robert D Sidman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Kyle B Mcclaine, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Alexander Calvin Dayton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Richard G Ryan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 |