| Mr Christopher Mcdermott, MD | |
|
320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 | |
| (860) 963-6390 | |
| (860) 963-6343 |
| Full Name | Mr Christopher Mcdermott |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 320 Pomfret St, Putnam, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396738076 | NPI | - | NPPES |
| 060646599 | Other | CT | UNITED HEATHCARE |
| 060646599 | Other | CT | EBPA / NORTHEAST HEALTH D |
| 1187570 | Other | CT | CIGNA |
| 001404483CL | Medicaid | CT | |
| 060646599 | Other | CT | NEHCA / HMC PPO |
| 5412114 | Other | CT | CCN |
| 7988333 | Other | CT | AETNA |
| 060646599 | Other | CT | PIONEER |
| 060646599 | Other | CT | PRIVATE HEALTHCARE SYSTEM |
| 060646599 | Other | CT | GREAT WEST |
| 2V1888 | Other | CT | HELATH NET |
| 060646599 | Other | CT | COMMUNITY HEALTH NETWORK |
| 2117234 | Other | CT | FIRST HEALTH |
| 010040448CT01 | Other | CT | ANTHEM BLUE CROSS |
| 060646599 | Other | CT | MULTIPLAN |
| 201494 | Other | CT | PREFERRED ONE/FIRST CHOIC |
| 060646599001 | Other | CT | HEALTH NET FEDERAL SERVIC |
| 040448 | Other | CT | CONNECTICARE |
| 060646599 | Other | CT | CIPA / CCC IPA |
| P2647031 | Other | CT | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 040448 (Connecticut) | Primary |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Entity Name | Prohealth Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher Mcdermott, MD 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 Ph: (860) 963-6390 | Mr Christopher Mcdermott, MD 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 Ph: (860) 963-6390 |
Garfield W Danenhower, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 Fax: 860-963-6343 | |
Richard D Smith, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343 | |
Dr. Adriaan R Herklots, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343 | |
Bronson E Terry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343 | |
Mr. Marc B Cerrone, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260 Phone: 860-928-6541 Fax: 860-963-6343 | |
Dr. Robert Moes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343 |