| Richard D Smith, MD | |
|
320 Pomfret St, Putnam, CT 06260-1836 | |
| (860) 963-6390 | |
| (860) 963-6343 |
| Full Name | Richard D Smith |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 54 Years |
| Location | 320 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215993993 | NPI | - | NPPES |
| 7001347 | Medicaid | RI |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brockton Recovery Medical Associates Pc | 6103983879 | 2 |
| Entity Name | Brockton Recovery Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144460478 PECOS PAC ID: 6103983879 Enrollment ID: O20090324000572 |
| Entity Name | Odyssey Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659127256 PECOS PAC ID: 2062957459 Enrollment ID: O20240710000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D Smith, MD 320 Pomfret St, Putnam, CT 06260-1836 Ph: (860) 963-6390 | Richard D Smith, MD 320 Pomfret St, 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 | |
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. Christopher Mcdermott, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Dkh Pediatric Center, 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 |