Dr Peter Paul Bertolozzi Jr, DO - Medicare Emergency Medicine in Groton, CT

Dr Peter Paul Bertolozzi Jr, DO is a medicare enrolled "Emergency Medicine" physician in Groton, Connecticut. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lawrence And Memorial Hospital, Inc., Lmw Healthcare Inc and his current practice location is 255 Michelle Ln, Apt 306, Groton, Connecticut. You can reach out to his office (for appointments etc.) via phone at (617) 448-1589.

Dr Peter Paul Bertolozzi Jr is licensed to practice in Connecticut (license number 49914) 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 1588841068.

Contact Information

Dr Peter Paul Bertolozzi Jr, DO
255 Michelle Ln, Apt 306,
Groton, CT 06340-4239
(617) 448-1589
Not Available



Physician's Profile

Full NameDr Peter Paul Bertolozzi Jr
GenderMale
SpecialityEmergency Medicine
Experience17 Years
Location255 Michelle Ln, Groton, 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:
  • Dr Peter Paul Bertolozzi Jr graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1588841068
  • Provider Enumeration Date: 01/27/2008
  • Last Update Date: 03/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7517018427
  • Enrollment ID: I20110719000147

Medical Identifiers

Medical identifiers for Dr Peter Paul Bertolozzi Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588841068NPI-NPPES
5315031607OtherMICONTROLLED SUBSTANCE LIS
5101017291OtherMIEDUCATION LISCENCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 49914 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lawrence & Memorial HospitalNew london, CTHospital
Westerly HospitalWesterly, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lawrence And Memorial Hospital, Inc.599179205339
Lmw Healthcare Inc701215511218

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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 Peter Paul Bertolozzi Jr allows following entities to bill medicare on his behalf.
Entity NameManchester Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457399198
PECOS PAC ID: 4486647534
Enrollment ID: O20040406000161

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Entity NameLawrence And Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073530879
PECOS PAC ID: 5991792053
Enrollment ID: O20040429001142

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Entity NameEmergency Medicine Physicians Of New Haven County Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083910962
PECOS PAC ID: 4284819764
Enrollment ID: O20110427000166

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Entity NameProspect Rockville Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205283538
PECOS PAC ID: 4880988211
Enrollment ID: O20160913001880

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Entity NameProspect Manchester Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316394638
PECOS PAC ID: 9234423625
Enrollment ID: O20160926000570

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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 Peter Paul Bertolozzi Jr 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 Peter Paul Bertolozzi Jr, DO
365 Montauk Ave,
New London, CT 06320-4700

Ph: (860) 442-0711
Dr Peter Paul Bertolozzi Jr, DO
255 Michelle Ln, Apt 306,
Groton, CT 06340-4239

Ph: (617) 448-1589

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Emergency Medicine Doctors in Groton, CT


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