Gonzalo Romo De Miguel, DDS in Berlin, CT - Medicare Dentist Provider

Gonzalo Romo De Miguel, DDS is a medicare enrolled "Dentist - General Practice" provider in Berlin, Connecticut. His current practice location is 5 Webster Square Rd, Berlin, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 828-3559.

Gonzalo Romo De Miguel is licensed to practice in Connecticut (license number 010901) 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 1669761250.

Contact Information

	Gonzalo Romo De Miguel, DDS
	5 Webster Square Rd, Berlin, CT 06037-2326
	(860) 828-3559
	Not Available

Healthcare Provider's Profile

Full Name	Gonzalo Romo De Miguel
Gender	Male
Speciality	Dentist - General Practice
Location	5 Webster Square Rd, Berlin, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669761250
Provider Enumeration Date: 04/04/2011
Last Update Date: 09/20/2021

Medicare PECOS Information:

PECOS PAC ID: 6800184458
Enrollment ID: I20161013001721

Medical Identifiers

Medical identifiers for Gonzalo Romo De Miguel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669761250	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	010901 (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. Gonzalo Romo De Miguel 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
Gonzalo Romo De Miguel, DDS 5 Webster Square Rd, Berlin, CT 06037-2326 Ph: (347) 237-2824	Gonzalo Romo De Miguel, DDS 5 Webster Square Rd, Berlin, CT 06037-2326 Ph: (860) 828-3559

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Dentist in Berlin, CT

Dr. Dennis S Gianoli, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5 Webster Square Road, Berlin, CT 06037 Phone: 860-828-3559 Fax: 860-828-1485
Nataliia Lysa, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 39 Webster Square Rd, Berlin, CT 06037 Phone: 860-828-3933
Dr. Dennis Karl Pezzolesi Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 39 Webster Square Rd, Berlin, CT 06037 Phone: 860-828-3933 Fax: 860-828-1610
Dr. Jadee Sheree Abbott, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 39 Webster Square Rd, Berlin, CT 06037 Phone: 860-828-3933

Gonzalo Romo De Miguel, DDS - Medicare Dentist in Berlin, CT