Sondra Iacullo Bogursky, MD in Waterbury, CT - Medicare Pediatric Medicine

Sondra Iacullo Bogursky, MD is a medicare enrolled "Internal Medicine" physician in Waterbury, Connecticut. She went to Temple University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Trinity Health Of New England Provider Network Organization Inc and her current practice location is 95 Scovill St, 3rd Floor, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 709-3800.

Sondra Iacullo Bogursky is licensed to practice in Connecticut (license number 042480) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790711059.

Contact Information

	Sondra Iacullo Bogursky, MD
	95 Scovill St, 3rd Floor, Waterbury, CT 06706-1113
	(203) 709-3800
	(203) 709-3869

Map and Direction

Physician's Profile

Full Name	Sondra Iacullo Bogursky
Gender	Female
Speciality	Pediatric Medicine
Experience	24 Years
Location	95 Scovill St, Waterbury, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sondra Iacullo Bogursky attended and graduated from Temple University School Of Medicine in 2000

NPI Data:

NPI Number: 1790711059
Provider Enumeration Date: 06/25/2006
Last Update Date: 10/19/2021

Medicare PECOS Information:

PECOS PAC ID: 3678535176
Enrollment ID: I20041027000996

Medical Identifiers

Medical identifiers for Sondra Iacullo Bogursky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790711059	NPI	-	NPPES
965608	Other	CT	USA
PENDING	Other	CT	RAILROAD MEDICARE
3689809/7698594	Other	CT	AETNA
24-70412	Other	CT	UHC
001424803	Medicaid	CT
010042480CT01	Other	CT	ANTHEM BCBS CT
246269	Other	CT	WELLCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	042480 (Connecticut)	Secondary
207R00000X	Internal Medicine	042480 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Mary's Hospital	Waterbury, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity Health Of New England Provider Network Organization Inc	0941113567	621

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. Sondra Iacullo Bogursky allows following entities to bill medicare on her behalf.

Entity Name	Trinity Health Of New England Provider Network Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651

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. Sondra Iacullo Bogursky 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
Sondra Iacullo Bogursky, MD 56 Franklin St, 3rd Floor, Waterbury, CT 06706-1221 Ph: (203) 709-8873	Sondra Iacullo Bogursky, MD 95 Scovill St, 3rd Floor, Waterbury, CT 06706-1113 Ph: (203) 709-3800

Reviews and Comments

Internal Medicine Doctors in Waterbury, CT

Dr. Juan Fica, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1389 W Main St, Tower 2, Suite 320, Waterbury, CT 06708 Phone: 203-753-9313 Fax: 203-573-8976
Mrs. Kanthimathi Jegathesan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2271 East Main Street, Waterbury, CT 06705 Phone: 203-753-4131 Fax: 203-753-6887
Robert J Mcdonald, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Grandview Avenue, Waterbury, CT 06708 Phone: 203-759-3666 Fax: 203-759-3671
Dr. Lydia Aoun-barakat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Grandview Ave, Suite #l01, Waterbury, CT 06708 Phone: 203-574-4187 Fax: 203-591-1453
David G. Hill, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Grandview Avenue, Waterbury, CT 06708 Phone: 203-759-3666 Fax: 203-759-3671
Shehryar Khaliqdina, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Franklin St, Waterbury, CT 06706 Phone: 203-709-8685
Dr. Joseph D Scuderi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Franklin St, Waterbury, CT 06706 Phone: 203-709-6000

Sondra Iacullo Bogursky, MD - Medicare Pediatric Medicine in Waterbury, CT