Mr Gregory R Criscuolo, MD is a medicare enrolled "Neurological Surgery" physician in Norwich, Connecticut. His current practice location is
330 Washington St, Suite 540, Norwich, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 859-5137.
Mr Gregory R Criscuolo is licensed to practice in Connecticut (license number 030418) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235170341.
Physician's Profile
| Full Name | Mr Gregory R Criscuolo |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 330 Washington St, Norwich, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235170341
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 01/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 5799798971
- Enrollment ID: I20060712000019
Medical Identifiers
Medical identifiers for Mr Gregory R Criscuolo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235170341 | NPI | - | NPPES |
| 001304188 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207T00000X | Neurological Surgery | 030418 (Connecticut) | Primary |
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. Mr Gregory R Criscuolo allows following entities to bill medicare on his behalf.
| Entity Name | Eastern Connecticut Neurosurgery Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306083142 PECOS PAC ID: 6002979994 Enrollment ID: O20090121000157 |
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| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
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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. Mr Gregory R Criscuolo 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 |
Mr Gregory R Criscuolo, MD 330 Washington St, Suite 540, Norwich, CT 06360-2700 Ph: (860) 859-5137 | Mr Gregory R Criscuolo, MD 330 Washington St, Suite 540, Norwich, CT 06360-2700 Ph: (860) 859-5137 |
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