| Gales Ferry Medical Group Llc | |
|
1527 Route 12 Gales Ferry CT 06335-1800 | |
| (860) 464-7274 | |
| (860) 464-7404 |
| Full Name | Gales Ferry Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1527 Route 12, Gales Ferry, Connecticut |
| Authorized Official Name and Position | John J Hennessey (PARTNER) |
| Authorized Official Contact | 8604647253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gales Ferry Medical Group Llc Po Box 335 Gales Ferry CT 06335-0335 Ph: (860) 464-7274 | Gales Ferry Medical Group Llc 1527 Route 12 Gales Ferry CT 06335-1800 Ph: (860) 464-7274 |
| NPI Number | 1194859058 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3971645359 |
|---|---|
| Medicare Enrollment ID | O20100122000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194859058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Peter J Gates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154416782 PECOS PAC ID: 4082664933 Enrollment ID: I20050127000833 |
| Provider Name | Catherine Krenicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497988711 PECOS PAC ID: 3971647546 Enrollment ID: I20100219000586 |
| Provider Name | John J Hennessey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215916564 PECOS PAC ID: 0143362525 Enrollment ID: I20100902000771 |
| Provider Name | Patricia Murdoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932279742 PECOS PAC ID: 6800872151 Enrollment ID: I20250424000629 |