Dr Thomas Harrison Gorin, MD - Medicare Pediatrics in Mansfield Center, CT

Dr Thomas Harrison Gorin, MD is a medicare enrolled "Pediatrics" physician in Mansfield Center, Connecticut. His current practice location is 12a Ledgebrook Dr, Mansfield Center, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 423-2960.

Dr Thomas Harrison Gorin is licensed to practice in Connecticut (license number 031024) 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 1942258157.

Contact Information

Dr Thomas Harrison Gorin, MD
12a Ledgebrook Dr,
Mansfield Center, CT 06250-1664
(860) 423-2960
(860) 423-3719



Physician's Profile

Full NameDr Thomas Harrison Gorin
GenderMale
SpecialityPediatrics
Location12a Ledgebrook Dr, Mansfield Center, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942258157
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0840424644
  • Enrollment ID: I20131010000692

Medical Identifiers

Medical identifiers for Dr Thomas Harrison Gorin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942258157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 031024 (Connecticut)Primary

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 Thomas Harrison Gorin allows following entities to bill medicare on his behalf.
Entity NameProhealth Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602

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Entity NameWindham Community Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023191467
PECOS PAC ID: 2961309059
Enrollment ID: O20031217000231

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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 Thomas Harrison Gorin 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 Thomas Harrison Gorin, MD
12a Ledgebrook Dr,
Mansfield Center, CT 06250-1664

Ph: (860) 423-2960
Dr Thomas Harrison Gorin, MD
12a Ledgebrook Dr,
Mansfield Center, CT 06250-1664

Ph: (860) 423-2960

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Pediatrics Doctors in Mansfield Center, CT

Suzanne M Powell, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250
Phone: 860-423-2960    Fax: 860-423-3719
Dr. Craig Russell Elliott, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250
Phone: 860-423-2960    Fax: 860-423-3719
Dr. Ronald Wolz Kelly, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250
Phone: 860-423-2960    Fax: 860-423-3719
Dr. Anne Schwirck Willenborg, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250
Phone: 860-423-2960    Fax: 860-423-3719

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