Agedi Nicholson Boto, MD/PHD - Medicare Pathology in Bridgeport, CT

Agedi Nicholson Boto, MD/PHD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Bridgeport, Connecticut. He went to Johns Hopkins University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Fairfield County Pathology Consultants, Llc and his current practice location is 2800 Main St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (475) 210-5032.

Agedi Nicholson Boto is licensed to practice in Connecticut (license number 55202) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568729077.

Contact Information

Agedi Nicholson Boto, MD/PHD
2800 Main St,
Bridgeport, CT 06606-4201
(475) 210-5032
(475) 210-5034



Physician's Profile

Full NameAgedi Nicholson Boto
GenderMale
SpecialityPathology
Experience12 Years
Location2800 Main St, Bridgeport, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Agedi Nicholson Boto attended and graduated from Johns Hopkins University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1568729077
  • Provider Enumeration Date: 04/20/2012
  • Last Update Date: 03/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6002187275
  • Enrollment ID: I20170807000653

Medical Identifiers

Medical identifiers for Agedi Nicholson Boto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568729077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0101XPathology - Anatomic Pathology 55202 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St. Vincent's Medical CenterBridgeport, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairfield County Pathology Consultants, Llc71139698334

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Agedi Nicholson Boto allows following entities to bill medicare on his behalf.
Entity NameGastroenterology Associates Of Fairfield Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285710442
PECOS PAC ID: 3274506290
Enrollment ID: O20040818000151

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Entity NameFairfield County Pathology Consultants, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518064757
PECOS PAC ID: 7113969833
Enrollment ID: O20050524000533

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Entity NameConnecticut Gi Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023124625
PECOS PAC ID: 9830110758
Enrollment ID: O20070112000011

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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. Agedi Nicholson Boto 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 AddressPractice Location Address
Agedi Nicholson Boto, MD/PHD
20 York St,
New Haven, CT 06510-3220

Ph: (203) 688-2259
Agedi Nicholson Boto, MD/PHD
2800 Main St,
Bridgeport, CT 06606-4201

Ph: (475) 210-5032

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Pathology Doctors in Bridgeport, CT

Dr. Christine Marianne Minerowicz, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3156    Fax: 203-384-3237
Young Choi Kim, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3157    Fax: 203-384-3237
Dr. George Michael Golenwsky, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Main St, Bridgeport, CT 06606
Phone: 203-576-5033    
Dr. Saurabh Malhotra, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 2800 Main St Dept Of, Bridgeport, CT 06606
Phone: 203-576-5033    
Dr. Angelique W Levi, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2800 Main St, St. Vincent's Medical Center, Dept. Of Pathology, Bridgeport, CT 06606
Phone: 203-576-5033    
Sumi Varghese Thomas, M.B.B.S
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 732-235-8120    

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