Dr Mary Rose Gotardo Tantoco, MD - Medicare Nephrology in Uncasville, CT

Dr Mary Rose Gotardo Tantoco, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Uncasville, Connecticut. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Southeastern Ct Nephrology Assoc Pc and her current practice location is 88 Norwich New London Tpke Ste 2, Uncasville, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 367-0087.

Dr Mary Rose Gotardo Tantoco is licensed to practice in Connecticut (license number 62257) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336315969.

Contact Information

Dr Mary Rose Gotardo Tantoco, MD
88 Norwich New London Tpke Ste 2,
Uncasville, CT 06382-2518
(860) 367-0087
Not Available



Physician's Profile

Full NameDr Mary Rose Gotardo Tantoco
GenderFemale
SpecialityNephrology
Experience15 Years
Location88 Norwich New London Tpke Ste 2, Uncasville, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mary Rose Gotardo Tantoco graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1336315969
  • Provider Enumeration Date: 05/04/2008
  • Last Update Date: 04/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3072747666
  • Enrollment ID: I20190307000921

Medical Identifiers

Medical identifiers for Dr Mary Rose Gotardo Tantoco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336315969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 62257 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Norwich DialysisNorwich, CTDialysis facility
New London DialysisNew london, CTDialysis facility
Lawrence & Memorial HospitalNew london, CTHospital
William W Backus HospitalNorwich, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Ct Nephrology Assoc Pc39715541975

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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. Dr Mary Rose Gotardo Tantoco allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Ct Nephrology Assoc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619031796
PECOS PAC ID: 3971554197
Enrollment ID: O20050204000632

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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. Dr Mary Rose Gotardo Tantoco 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
Dr Mary Rose Gotardo Tantoco, MD
88 Norwich New London Tpke Ste 2,
Uncasville, CT 06382-2518

Ph: (860) 367-0087
Dr Mary Rose Gotardo Tantoco, MD
88 Norwich New London Tpke Ste 2,
Uncasville, CT 06382-2518

Ph: (860) 367-0087

News Archive

George Soros to donate $50 million to the Millennium Villages Project

Financier and philanthropist George Soros on Tuesday announced he will donate $50 million to the Millennium Villages Project - which aims to fight poverty and diseases, including malaria and HIV/AIDS, in villages throughout Africa - the New York Times reports (Dugger, New York Times, 9/13).

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Internal Medicine Doctors in Uncasville, CT

Dr. Altaf Rasool, M.D
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382
Phone: 860-367-0087    
Saqib Inayatullah, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382
Phone: 860-367-0087    
Mihaela Olivia Negulescu, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 88 Norwich New London Tpke, Uncasville, CT 06382
Phone: 860-367-0087    
Bethany Luciani Miller, PA-C
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 80 Norwich New London Tpke, Uncasville, CT 06382
Phone: 860-848-1297    Fax: 860-848-9875
Donald J Felitto, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382
Phone: 860-367-0087    Fax: 860-367-0117
Jay M Ginsberg, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382
Phone: 860-367-0087    Fax: 860-367-0117

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