| Richard L Brody, MD | |
|
1315 Main St, Suite 2, Willimantic, CT 06226-1948 | |
| (860) 450-7471 | |
| Not Available |
| Full Name | Richard L Brody |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1315 Main St, Willimantic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457330912 | NPI | - | NPPES |
| 010042204CT01 | Other | CT | ANTHEM BCBS (GENERATIONS) |
| 145674 | Other | CONNECTICARE | |
| 3985938 | Other | CT | AETNA CLAIMS (GENERATIONS) |
| 3487457015 | Other | CT | CIGNA (GENERATIONS) |
| 001422071 | Medicaid | CT | |
| 080001731 | Other | CT | MEDICARE PIN (GENERATIONS) |
| PAR | Other | CT | CHN-PPO (GENERATIONS) |
| 11113774 | Other | CT | HMC-PPO / MULTIPLAN (GENERATIONS) |
| 1457330912 | Other | CT | CIGNA |
| 007733871 | Other | CT | MEDICAID (GENERATIONS) |
| 145674-G525 | Other | CT | CONNECTICARE (GENERATIONS) |
| 2444498 | Other | CT | WELLCARE (GENERATIONS) |
| P3319349 | Other | CT | OXFORD (GENERATIONS) |
| 7896129 | Other | AETNA | |
| 2V5016 | Other | CT | HEALTHNET (GENERATIONS) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 142207 (Connecticut) | Primary |
| 207P00000X | Emergency Medicine | 42207 (Connecticut) | Secondary |
| Entity Name | American Current Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851571608 PECOS PAC ID: 9739260019 Enrollment ID: O20110707000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Brody, MD 1315 Main St, Suite 2, Willimantic, CT 06226-1948 Ph: (860) 450-7471 | Richard L Brody, MD 1315 Main St, Suite 2, Willimantic, CT 06226-1948 Ph: (860) 450-7471 |
Carol Jean Annino, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213 | |
Amy Rose Benenson, MSPAS, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 289 Windham Rd, Willimantic, CT 06226 Phone: 860-343-0302 | |
Ms. Kathryn Nelson, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 High Street, Willimantic, CT 06226 Phone: 860-465-2465 | |
Dr. Dana Wiseman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213 | |
Nestor Enrique Torres, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 Main St, Willimantic, CT 06226 Phone: 860-450-7471 |