Brian De La Rosa, MD - Medicare Emergency Medicine in Bridgeport, CT

Brian De La Rosa, MD is a medicare enrolled "Emergency Medicine" physician in Bridgeport, Connecticut. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and his current practice location is 2800 Main St, St. Vincents Medical Center, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 576-5177.

Brian De La Rosa is licensed to practice in Connecticut (license number 040558) 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 1235276197.

Contact Information

Brian De La Rosa, MD
2800 Main St, St. Vincents Medical Center,
Bridgeport, CT 06606-4201
(203) 576-5177
Not Available



Physician's Profile

Full NameBrian De La Rosa
GenderMale
SpecialityEmergency Medicine
Experience29 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:
  • Brian De La Rosa graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1235276197
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 09/24/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4789725649
  • Enrollment ID: I20100114000292

Medical Identifiers

Medical identifiers for Brian De La Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235276197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 040558 (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
Hartford Healthcare Medical Group Specialists Pllc31738662411138

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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. Brian De La Rosa allows following entities to bill medicare on his behalf.
Entity NameSt. Vincent's Multispecialty Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043544489
PECOS PAC ID: 6204977218
Enrollment ID: O20100112000538

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Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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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. Brian De La Rosa 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
Brian De La Rosa, MD
2800 Main St, St. Vincents Medical Center,
Bridgeport, CT 06606-4201

Ph: (203) 576-5177
Brian De La Rosa, MD
2800 Main St, St. Vincents Medical Center,
Bridgeport, CT 06606-4201

Ph: (203) 576-5177

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Emergency Medicine Doctors in Bridgeport, CT

Dr. Tanya Dhiren Shah, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3000    
Dr. Kevin J Sprague Ii, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2800 Main St, Emergency Department, Bridgeport, CT 06606
Phone: 203-576-5604    
Sally Syaunan Chao, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2800 Main St, St. Vincent Medical Center, Bridgeport, CT 06606
Phone: 203-576-5177    
Kimberly Anne Reade, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2800 Main St, Emergency Department, Bridgeport, CT 06606
Phone: 203-576-5604    
Dr. Jonathan Maisel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-4490    
Dr. Roland Martin Jermyn Iii, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3256    Fax: 203-384-4037
Samantha Dane, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2800 Main St, St. Vincent Medical Center, Bridgeport, CT 06606
Phone: 203-576-5177    

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