| Stanley J Stutz, MD | |
|
112 Mansfield Ave, Willimantic, CT 06226-2045 | |
| (860) 456-9116 | |
| Not Available |
| Full Name | Stanley J Stutz |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 112 Mansfield Ave, 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 |
|---|---|---|---|
| 1689763252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 220558 (Massachusetts) | Primary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 050575 (Connecticut) | Secondary |
| Entity Name | The Hospital Of Connecticut At New Britain And Bradley Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
| Entity Name | Midstate Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
| Entity Name | Northeast Emergency Medicine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982889598 PECOS PAC ID: 8729157797 Enrollment ID: O20080516000028 |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Entity Name | Nems Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114482882 PECOS PAC ID: 2466792833 Enrollment ID: O20190321000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley J Stutz, MD 185 High Wood Dr, South Glastonbury, CT 06073-2908 Ph: (617) 939-6413 | Stanley J Stutz, MD 112 Mansfield Ave, Willimantic, CT 06226-2045 Ph: (860) 456-9116 |
Dr. Craig D Sweeney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1703 Main St, Willimantic, CT 06226 Phone: 860-456-1252 | |
Jessica Lise Vercruysse, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 904-265-6850 | |
Thomas Gilmore, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Mansfield Ave, Windham Hospital, Willimantic, CT 06226 Phone: 215-955-9837 | |
Dr. Eugene A Winchester, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6715 | |
Dr. Orland Edwin Donald, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Windham Hospital Emergency Dept, Willimantic, CT 06226 Phone: 860-456-6715 | |
Marc L. Guttman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-9116 Fax: 860-963-6368 | |
Neil Moynihan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-423-6410 |