Marie Dam, MD - Medicare Internal Medicine in Avon, CT

Marie Dam, MD is a medicare enrolled "Internal Medicine" physician in Avon, Connecticut. Her current practice location is 35 Tower Ln, Suite 103, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 921-3345.

Marie Dam is licensed to practice in Connecticut (license number 036441) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164576062.

Contact Information

Marie Dam, MD
35 Tower Ln, Suite 103,
Avon, CT 06001-4237
(860) 921-3345
(860) 201-1041



Physician's Profile

Full NameMarie Dam
GenderFemale
SpecialityInternal Medicine
Location35 Tower Ln, Avon, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164576062
  • Provider Enumeration Date: 01/22/2007
  • Last Update Date: 05/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7911178827
  • Enrollment ID: I20110927000115

Medical Identifiers

Medical identifiers for Marie Dam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164576062NPI-NPPES
001364413MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036441 (Connecticut)Primary
207R00000XInternal Medicine 113731 (Florida)Secondary
207R00000XInternal Medicine 45523 (Kentucky)Secondary

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. Marie Dam allows following entities to bill medicare on her behalf.
Entity NameSkilled Facility Health Care Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104018423
PECOS PAC ID: 9032299144
Enrollment ID: O20191203001685

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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. Marie Dam 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
Marie Dam, MD
35 Tower Ln, Suite 103,
Avon, CT 06001-4237

Ph: (860) 921-3345
Marie Dam, MD
35 Tower Ln, Suite 103,
Avon, CT 06001-4237

Ph: (860) 921-3345

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Internal Medicine Doctors in Avon, CT

Dr. Chi H Kim, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 Simsbury Rd, Suite 203, Avon, CT 06001
Phone: 860-284-5111    Fax: 860-254-5114
Carol Petruff, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 44 Dale Rd, Prime Healthcare, Avon, CT 06001
Phone: 860-674-8830    Fax: 860-674-8984
Anthony Zaldonis, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 44 Dale Rd, Prime Healthcare, Avon, CT 06001
Phone: 860-674-8830    Fax: 860-674-8984
Dr. Julie Ann Vernon, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 62 Northgate, Avon, CT 06001
Phone: 860-675-0542    
Lisa Marie Gronski, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 339 W Main St, Avon, CT 06001
Phone: 860-696-2150    Fax: 860-696-2160
Paul P Stroebel, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 236 Cold Spring Road, Avon, CT 06001
Phone: 860-673-0882    

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