Internal Medicine & Pediatrics Llc is a medicare enrolled primary clinic (Pediatrics) in Derby, Connecticut. The current practice location for Internal Medicine & Pediatrics Llc is 111 New Haven Ave, Derby, Connecticut. For appointments, you can reach them via phone at
(203) 736-9214. The mailing address for Internal Medicine & Pediatrics Llc is 111 New Haven Ave, Derby, Connecticut and phone number is (203) 736-9214.
Internal Medicine & Pediatrics Llc is licensed to practice in Connecticut (license number 023888). The clinic also participates in the medicare program and its
NPI number is 1013122993. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(203) 736-9214.
Primary Care Clinic Profile
| Full Name | Internal Medicine & Pediatrics Llc |
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| Speciality | Pediatrics |
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| Location | 111 New Haven Ave, Derby, Connecticut |
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| Authorized Official Name and Position | Robert Nelson Hyde (MEMBER) |
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| Authorized Official Contact | 2037369214 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Internal Medicine & Pediatrics Llc
111 New Haven Ave
Derby
CT 06418-2197
Ph: (203) 736-9214 | Internal Medicine & Pediatrics Llc
111 New Haven Ave
Derby
CT 06418-2197
Ph: (203) 736-9214 |
NPI Details:
| NPI Number | 1013122993 |
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| Provider Enumeration Date | 05/13/2007 |
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| Last Update Date | 08/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9335280395 |
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| Medicare Enrollment ID | O20100113000180 |
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Medical Identifiers
Medical identifiers for Internal Medicine & Pediatrics Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013122993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 023888 (Connecticut) | Primary |
| 208000000X | Pediatrics | 023888 (Connecticut) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Internal Medicine & Pediatrics Llc acts as a billing entity for following providers:
| Provider Name | Robert Nelson Hyde |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1902011885
PECOS PAC ID: 0345381307
Enrollment ID: I20100113000176 |
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