Dr Bruce Eliot Komarow, DMD in Avon, CT - Medicare Dentist Provider

Dr Bruce Eliot Komarow, DMD is a medicare enrolled "Dentist" provider in Avon, Connecticut. His current practice location is 40 Dale Road, Avon, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 677-2171.

Dr Bruce Eliot Komarow is licensed to practice in Connecticut (license number 6508) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932311453.

Contact Information

	Dr Bruce Eliot Komarow, DMD
	40 Dale Road, Avon, CT 06001
	(860) 677-2171
	(860) 677-2427

Healthcare Provider's Profile

Full Name	Dr Bruce Eliot Komarow
Gender	Male
Speciality	Dentist
Location	40 Dale Road, Avon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932311453
Provider Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2466711965
Enrollment ID: I20180129002330

Medical Identifiers

Medical identifiers for Dr Bruce Eliot Komarow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932311453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	6508 (Connecticut)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce Eliot Komarow is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Bruce Eliot Komarow, DMD 40 Dale Road, Avon, CT 06001 Ph: (860) 677-2171	Dr Bruce Eliot Komarow, DMD 40 Dale Road, Avon, CT 06001 Ph: (860) 677-2171

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Dentist in Avon, CT

Dr. Robert Hotchkiss Breckinridge Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 W Avon Rd, Avon, CT 06001 Phone: 860-673-0451
Dr. Frank Paul Lombardi Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 W Avon Rd, Avon, CT 06001 Phone: 860-673-0451 Fax: 860-673-6784
Dr. Gerard Francis Graham, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Simsbury Rd, Suite 201, Avon, CT 06001 Phone: 860-606-0066 Fax: 860-606-0071
Collin B Sanford, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 44 Dale Rd, Avon, CT 06001 Phone: 860-677-6405 Fax: 860-677-1189
Dr. Gregory J Solof, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 W Avon Rd, Avon, CT 06001 Phone: 860-675-3789 Fax: 860-673-6784
A. Liam Doran, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 44 Dale Rd, Avon, CT 06001 Phone: 860-677-6405 Fax: 860-677-1189
Dr. Lauren Mentasti, DMD, MPH Dentist Medicare: Not Enrolled in Medicare Practice Location: 32 E Main St, Avon, CT 06001 Phone: 860-678-1140

Dr Bruce Eliot Komarow, DMD - Medicare Dentist in Avon, CT