Mary T Pronovost, MD - Medicare General Surgery in Bridgeport, CT

Mary T Pronovost, MD is a medicare enrolled "Surgery" physician in Bridgeport, Connecticut. She went to Temple University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Temple Faculty Practice Plan Inc and her current practice location is 226 Mill Hill Ave, 3rd Floor, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 384-3873.

Mary T Pronovost is licensed to practice in Connecticut (license number 037703) 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 1851350011.

Contact Information

Mary T Pronovost, MD
226 Mill Hill Ave, 3rd Floor,
Bridgeport, CT 06610-2811
(203) 384-3873
(203) 384-3829



Physician's Profile

Full NameMary T Pronovost
GenderFemale
SpecialityGeneral Surgery
Experience33 Years
Location226 Mill Hill Ave, Bridgeport, 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:
  • Mary T Pronovost attended and graduated from Temple University School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1851350011
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 09/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9032019344
  • Enrollment ID: I20201019000302

Medical Identifiers

Medical identifiers for Mary T Pronovost such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851350011NPI-NPPES
001377036MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 037703 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Temple University HospitalPhiladelphia, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Temple Faculty Practice Plan Inc03455887111063

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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. Mary T Pronovost allows following entities to bill medicare on her behalf.
Entity NameTemple Faculty Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881176949
PECOS PAC ID: 0345588711
Enrollment ID: O20190208002623

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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. Mary T Pronovost 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
Mary T Pronovost, MD
5520 Park Ave, Suite 101,
Trumbull, CT 06611-3463

Ph: (203) 254-2381
Mary T Pronovost, MD
226 Mill Hill Ave, 3rd Floor,
Bridgeport, CT 06610-2811

Ph: (203) 384-3873

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Surgery Doctors in Bridgeport, CT

Dr. Jitendra Bhagwandas Bharucha, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2660 Main St, Suite 110, Bridgeport, CT 06606
Phone: 203-332-4744    Fax: 203-333-4751
Dr. Vincent A Manjoney Jr., MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2720 Main St, 3rd Floor South, Bridgeport, CT 06606
Phone: 203-579-7500    Fax: 203-576-0035
Andrew S Kenler, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610
Phone: 203-384-3873    Fax: 203-384-3829
William R Butler, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610
Phone: 203-384-3873    Fax: 203-384-3829
Dr. Felix B Mpuku, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3180 Main St, Suite 305, Bridgeport, CT 06606
Phone: 203-372-6322    Fax: 203-371-8930
Alisa Savetamal, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610
Phone: 203-384-3873    Fax: 203-384-3829
Eric Tsung, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3000    

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