| Watertown Medical Associates, Llc | |
|
365 Main St Ste 201 Watertown CT 06795-2249 | |
| (860) 274-2418 | |
| (860) 274-2986 |
| Full Name | Watertown Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 365 Main St Ste 201, Watertown, Connecticut |
| Authorized Official Name and Position | Maximilian Gomez-trochez (OWNER) |
| Authorized Official Contact | 8602742418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Watertown Medical Associates, Llc 365 Main St Ste 201 Watertown CT 06795-2249 Ph: (860) 274-2418 | Watertown Medical Associates, Llc 365 Main St Ste 201 Watertown CT 06795-2249 Ph: (860) 274-2418 |
| NPI Number | 1063985323 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 04/29/2021 |
| Medicare PECOS PAC ID | 8325389307 |
|---|---|
| Medicare Enrollment ID | O20190402000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063985323 | NPI | - | NPPES |
| 049979 | Other | CT | CONNECTICARE |
| 1154493 | Other | CT | USA |
| P4376817 | Other | CT | OXFORD |
| 5856125 | Other | CT | CIGNA |
| P01040202 | Other | CT | RAILROAD MEDICARE |
| 05856125 | Other | CT | GREAT WEST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Allyson Rovetto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285892703 PECOS PAC ID: 6608044219 Enrollment ID: I20110727000041 |
| Provider Name | Maximilian Gomez Trochez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467613356 PECOS PAC ID: 1850560269 Enrollment ID: I20110801000577 |
| Provider Name | Kaitlyn Finneran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063001840 PECOS PAC ID: 7517372808 Enrollment ID: I20210218002428 |
John P. Moschello, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 594 Mount Fair Dr, Watertown, CT 06795 Phone: 860-274-0674 Fax: 860-945-6614 | |
Town And Country Pediatrics And Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 380 Main Street, Watertown, CT 06795 Phone: 860-274-8891 Fax: 860-274-8895 |