| Thomas Miller, MD | |
| 490 Blue Hills Ave, Rehab, Hartford, CT 06112-1513 | |
| (860) 714-2647 | |
| (860) 714-8517 | 
| Full Name | Thomas Miller | 
|---|---|
| Gender | Male | 
| Speciality | Physical Medicine & Rehabilitation | 
| Location | 490 Blue Hills Ave, Hartford, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851399794 | NPI | - | NPPES | 
| 001394072 | Medicaid | CT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 039407 (Connecticut) | Primary | 
| 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 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thomas Miller, MD 1000 Asylum Ave, Suite 2109a, Hartford, CT 06105-1770 Ph: (860) 714-6581 | Thomas Miller, MD 490 Blue Hills Ave, Rehab, Hartford, CT 06112-1513 Ph: (860) 714-2647 | 
| Jason Bitterman, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St Ste 609, Hartford, CT 06106 Phone: 860-972-5107 | |
| Dr. Gregory De Gruchy, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 85 Seymour St Ste 609, Hartford, CT 06106 Phone: 860-972-5107 Fax: 860-545-5593 | |
| Tracy Morales, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Cb 101, Hartford, CT 06102 Phone: 860-545-4187 Fax: 860-545-2006 | |
| Dr. Vincent Thomas Codispoti, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 31 Seymour St Ste 100, Hartford, CT 06106 Phone: 860-549-3210 Fax: 860-247-3803 | |
| Robert Krug, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 490 Blue Hills Ave, Hartford, CT 06112 Phone: 860-714-2647 Fax: 860-714-8517 | |
| Pietro A Memmo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 31 Seymour St Ste 100, Hartford, CT 06106 Phone: 860-549-3210 Fax: 860-247-3803 | |
| Maria Tsarouhas, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour Street, Hartford Hospital Physical Medicine & Rehab, Hartford, CT 06102 Phone: 860-972-5017 Fax: 860-545-5593 |