| John Leonard Maiocco, DPM | |
|
112 Quarry Rd, Suite 420, Trumbull, CT 06611-4848 | |
| (203) 374-3464 | |
| (203) 372-1975 |
| Full Name | John Leonard Maiocco |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 30 Years |
| Location | 112 Quarry Rd, Trumbull, 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 |
|---|---|---|---|
| 1154382968 | NPI | - | NPPES |
| 40774621 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 000462 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Provider Name | Northeast Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| John Leonard Maiocco, DPM 112 Quarry Rd, Suite 420, Trumbull, CT 06611-4848 Ph: (203) 374-3464 | John Leonard Maiocco, DPM 112 Quarry Rd, Suite 420, Trumbull, CT 06611-4848 Ph: (203) 374-3464 |
Dr. Robert Anthony Eterno, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 112 Quarry Rd, Suite 420, Trumbull, CT 06611 Phone: 203-374-1700 Fax: 203-372-1975 | |
Primed, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4154 Madison Ave, Trumbull, CT 06611 Phone: 203-374-1700 Fax: 203-372-1975 | |
Foot Specialists Of Trumbull Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4154 Madison Ave, Trumbull, CT 06611 Phone: 203-374-1700 Fax: 203-372-1975 |