| Peter D Licht, MD | |
|
172 Mount Pleasant Rd, Newtown, CT 06470-1443 | |
| (203) 426-8442 | |
| (203) 270-7464 |
| Full Name | Peter D Licht |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 51 Years |
| Location | 172 Mount Pleasant Rd, Newtown, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841267457 | NPI | - | NPPES |
| 001176122 | Medicaid | CT | |
| 110227989 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 017612 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Danbury Hospital | Danbury, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peter Licht M.d. And Jennifer Holloway M.d Llc. | 7517860802 | 2 |
| Entity Name | Peter Licht M.d. & Jennifer Holloway M.d Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528286895 PECOS PAC ID: 7517860802 Enrollment ID: O20040202000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter D Licht, MD 172 Mount Pleasant Rd, Newtown, CT 06470-1443 Ph: (203) 426-8442 | Peter D Licht, MD 172 Mount Pleasant Rd, Newtown, CT 06470-1443 Ph: (203) 426-8442 |
Jeffrey P Friedman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 South Main Street, Newtown, CT 06470 Phone: 203-270-1077 Fax: 203-426-2175 | |
Dr. Maria V Urfer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Dinglebrook Ln, Newtown, CT 06470 Phone: 203-426-6435 | |
Jennifer T Holloway, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 172 Mount Pleasant Rd, Newtown, CT 06470 Phone: 203-426-8442 | |
Mark Pirner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Stony Brook Rd, Newtown, CT 06470 Phone: 475-323-7210 | |
Dr. Flora Parvin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 Church Hill Rd, Newtown, CT 06470 Phone: 203-426-1818 Fax: 203-426-9253 | |
Dr. Karin Michels-ashwood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Mount Pleasant Rd, Newtown, CT 06470 Phone: 203-270-1016 |