Gary Lee Last, MD in Bloomfield, CT - Medicare Dermatology

Gary Lee Last, MD is a medicare enrolled "Dermatology" physician in Bloomfield, Connecticut. His current practice location is 580 Cottage Grove Rd, Suite 207, Bloomfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 242-8644.

Gary Lee Last is licensed to practice in Connecticut (license number 23605) 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 1629003918.

Contact Information

	Gary Lee Last, MD
	580 Cottage Grove Rd, Suite 207, Bloomfield, CT 06002-3088
	(860) 242-8644
	(860) 242-5017

Physician's Profile

Full Name	Gary Lee Last
Gender	Male
Speciality	Dermatology
Location	580 Cottage Grove Rd, Bloomfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629003918
Provider Enumeration Date: 07/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3476559964
Enrollment ID: I20061005000396

Medical Identifiers

Medical identifiers for Gary Lee Last such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629003918	NPI	-	NPPES
0100236Q5CT01	Other	CT	BLUE SHIELD
0012360581	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	23605 (Connecticut)	Primary

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. Gary Lee Last 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 Address	Practice Location Address
Gary Lee Last, MD 580 Cottage Grove Rd, Suite 207, Bloomfield, CT 06002-3088 Ph: (860) 242-8644	Gary Lee Last, MD 580 Cottage Grove Rd, Suite 207, Bloomfield, CT 06002-3088 Ph: (860) 242-8644

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Dermatology Doctors in Bloomfield, CT

Jennifer W Pennoyer, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 47 Jolley Dr, Bloomfield, CT 06002
Phone: 860-243-3020 Fax: 860-243-3002

Gary Lee Last, MD - Medicare Dermatology in Bloomfield, CT