Raja Fattaleh, MD in Putnam, CT - Medicare Family Practice

Raja Fattaleh, MD is a medicare enrolled "Family Medicine" physician in Putnam, Connecticut. He went to Saint Louis University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. His current practice location is 353 Pomfret St, Putnam, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 928-1111.

Raja Fattaleh is licensed to practice in Connecticut (license number 038188) 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 1841283439.

Contact Information

	Raja Fattaleh, MD
	353 Pomfret St, Putnam, CT 06260-1835
	(860) 928-1111
	(860) 963-7756

Map and Direction

Physician's Profile

Full Name	Raja Fattaleh
Gender	Male
Speciality	Family Practice
Experience	30 Years
Location	353 Pomfret St, Putnam, 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:

Raja Fattaleh attended and graduated from Saint Louis University School Of Medicine in 1994

NPI Data:

NPI Number: 1841283439
Provider Enumeration Date: 08/29/2005
Last Update Date: 11/04/2013

Medicare PECOS Information:

PECOS PAC ID: 7517932106
Enrollment ID: I20040827000438

Medical Identifiers

Medical identifiers for Raja Fattaleh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841283439	NPI	-	NPPES
001381889	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	038188 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Day Kimball Hospital	Putnam, CT	Hospital
Westview Nursing Care & Rehab	Dayville, CT	Nursing home

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. Raja Fattaleh allows following entities to bill medicare on his behalf.

Entity Name	Priority Family Healthcare Of Northeast Connecticut, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720391311 PECOS PAC ID: 4688790801 Enrollment ID: O20100924001083

Entity Name	Day Kimball Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376813972 PECOS PAC ID: 1557514411 Enrollment ID: O20130102000091

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. Raja Fattaleh 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
Raja Fattaleh, MD Po Box 333, Putnam, CT 06260-0333 Ph: (860) 928-1111	Raja Fattaleh, MD 353 Pomfret St, Putnam, CT 06260-1835 Ph: (860) 928-1111

Reviews and Comments

Family Medicine Doctors in Putnam, CT

Timothy E Cooper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Pomfret Street, Putnam, CT 06260 Phone: 860-928-2736 Fax: 860-928-6367
Mukti J Patel-prineas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 202 Pomfret St, Putnam, CT 06260 Phone: 860-963-7917 Fax: 860-963-0018
Gerald Bland Sullivan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Kennedy Dr, Putnam, CT 06260 Phone: 860-928-6541 Fax: 860-928-8268
Dr. Youlan Tang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541
Charles L Wreschner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 235 Pomfret St, Putnam, CT 06260 Phone: 860-928-0493 Fax: 860-928-9255
Dr. Dominick F Roto Ii, DO FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Pomfret St, Putnam, CT 06260 Phone: 860-928-5248 Fax: 860-928-5286
Dr. Rosemary Ijeoma Maduka, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Pomfret St, Putnam, CT 06260 Phone: 860-928-2736

Raja Fattaleh, MD - Medicare Family Practice in Putnam, CT