Mr John D Wysocki, MD in South Windsor, CT

Mr John D Wysocki, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in South Windsor, Connecticut. He went to Tulane University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Connecticut Gi Pc, Hartford Healthcare Medical Group Specialists Pllc and his current practice location is 2400 Tamarack Ave, Suite 101, South Windsor, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 644-4442.

Mr John D Wysocki is licensed to practice in Connecticut (license number 055947) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457594103.

Contact Information

	Mr John D Wysocki, MD
	2400 Tamarack Ave, Suite 101, South Windsor, CT 06074-5555
	(860) 644-4442
	(860) 644-1412

Map and Direction

Physician's Profile

Full Name	Mr John D Wysocki
Gender	Male
Speciality	Gastroenterology
Experience	15 Years
Location	2400 Tamarack Ave, South Windsor, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr John D Wysocki attended and graduated from Tulane University School Of Medicine in 2009

NPI Data:

NPI Number: 1457594103
Provider Enumeration Date: 04/10/2009
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9931426665
Enrollment ID: I20161227001219

Medical Identifiers

Medical identifiers for Mr John D Wysocki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457594103	NPI	-	NPPES
7019762	Other	CT	CIGNA
4886159	Other	CT	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	055947 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hartford Hospital	Hartford, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Connecticut Gi Pc	9830110758	185
Hartford Healthcare Medical Group Specialists Pllc	3173866241	1138

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 John D Wysocki allows following entities to bill medicare on his behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

Entity Name	Connecticut Gi Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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 John D Wysocki 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 John D Wysocki, MD 10 Jolley Dr, Ste 102, Bloomfield, CT 06002-3061 Ph: (860) 257-4131	Mr John D Wysocki, MD 2400 Tamarack Ave, Suite 101, South Windsor, CT 06074-5555 Ph: (860) 644-4442

Reviews and Comments

Internal Medicine Doctors in South Windsor, CT

Dr. Jeffrey E Stein, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1559 Sullivan Ave, Hartford Medical Group, South Windsor, CT 06074 Phone: 860-696-2350 Fax: 860-696-2360
Dr. Raymond G London, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1330 Sullivan Ave, South Windsor, CT 06074 Phone: 860-644-3421 Fax: 860-644-3422
Brian Thomas Moy, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 Phone: 860-644-4442
Dr. Marcy Lynn Qureshi, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2400 Tamarack Ave, Suite 101, South Windsor, CT 06074 Phone: 860-644-4442 Fax: 860-644-1412
Dr. Jeffrey Robert Breiter, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2400 Tamarack Ave, Suite 101, South Windsor, CT 06074 Phone: 860-644-4442 Fax: 860-644-1412
Dr. Christine Najjar, MD, MS, ABOM Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1330 Sullivan Ave # D, South Windsor, CT 06074 Phone: 203-441-1075 Fax: 866-896-0252

Mr John D Wysocki, MD - Medicare Gastroenterology in South Windsor, CT