Dr William A Boller Iii, MD | |
1 Wahoo Ave, Groton, CT 06349-2324 | |
(860) 694-2377 | |
(860) 694-2590 |
Full Name | Dr William A Boller Iii |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 1 Wahoo Ave, Groton, 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 |
---|---|---|---|
1972730380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101250100 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Charles A Dean Memorial Hospital | Greenville, ME | Hospital |
Mayo Regional Hospital | Dover foxcroft, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charles A. Dean Memorial Hospital | 1557279031 | 24 |
Entity Name | Charles A. Dean Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659388213 PECOS PAC ID: 1557279031 Enrollment ID: O20100608000349 |
Entity Name | Mrh Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558319103 PECOS PAC ID: 1355770892 Enrollment ID: O20200803002384 |
Mailing Address | Practice Location Address |
---|---|
Dr William A Boller Iii, MD 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-2377 | Dr William A Boller Iii, MD 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-2377 |
Paul David Seeman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Route 12 Bldg 449 Professional Affairs, Naval Ambulatory Care Center, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590 | |
Dr. John William Dorunda, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Nbhc Groton, Groton, CT 06340 Phone: 860-694-4123 Fax: 860-694-1330 | |
Matthew Martin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 904-542-7300 | |
Dr. Jennifer Donahue, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Poheganut Dr, Groton, CT 06340 Phone: 860-448-6303 Fax: 860-448-9678 | |
Dr. Ryan Christopher Bartle, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-235-6362 | |
Dr. Laura Anne Watts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Poheganut Dr, Groton, CT 06340 Phone: 860-448-6303 Fax: 860-448-9678 | |
John Christopher Daniel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Trout Ave Bldg 141, Naval Submarine Medical Research Laboratory, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-3590 |