Paul L Fortgang, MD - Medicare Otolaryngology in New Haven, CT

Paul L Fortgang, MD is a medicare enrolled "Otolaryngology" physician in New Haven, Connecticut. He went to Medical College Of Pennsylvania and graduated in 1980 and has 44 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Northeast Medical Group Inc, Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou and his current practice location is 1 Long Wharf Dr, Suite 302, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 865-1185.

Paul L Fortgang is licensed to practice in Connecticut (license number 028622) 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 1649292566.

Contact Information

Paul L Fortgang, MD
1 Long Wharf Dr, Suite 302,
New Haven, CT 06511-5991
(203) 865-1185
(203) 776-7741



Physician's Profile

Full NamePaul L Fortgang
GenderMale
SpecialityOtolaryngology
Experience44 Years
Location1 Long Wharf Dr, New Haven, 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:
  • Paul L Fortgang attended and graduated from Medical College Of Pennsylvania in 1980
  NPI Data:
  • NPI Number: 1649292566
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 07/02/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8224191630
  • Enrollment ID: I20090112000427

Medical Identifiers

Medical identifiers for Paul L Fortgang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649292566NPI-NPPES
040001967OtherCTRAILROAD MEDICARE PIN
001286228MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 028622 (Connecticut)Primary
207YP0228XOtolaryngology - Pediatric Otolaryngology 028622 (Connecticut)Secondary
207YX0602XOtolaryngology - Otolaryngic Allergy 028622 (Connecticut)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yale-new Haven HospitalNew haven, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Medical Group Inc12542338361251
Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou397165532513

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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. Paul L Fortgang allows following entities to bill medicare on his behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522

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Entity NameSouthern New England Ear, Nose, Throat And Facial Plastic Surgery Grou
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215164058
PECOS PAC ID: 3971655325
Enrollment ID: O20090715000326

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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. Paul L Fortgang 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
Paul L Fortgang, MD
1 Long Wharf Dr, Suite 302,
New Haven, CT 06511-5991

Ph: (203) 865-1185
Paul L Fortgang, MD
1 Long Wharf Dr, Suite 302,
New Haven, CT 06511-5991

Ph: (203) 865-1185

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Otolaryngology Doctors in New Haven, CT

Dr. Kiley Edward Trott, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1 Park Street, Wing West Pavilion Fl 2nd Floor, New Haven, CT 06504
Phone: 203-785-5430    Fax: 203-785-3970
Mark S Bianchi, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lock Street, New Haven, CT 06511
Phone: 203-375-0050    Fax: 203-380-1616
Dr. Sara Isabel Pai, MD, PHD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 35 Park St, New Haven, CT 06519
Phone: 855-476-4569    
Dr. Richard Peter Manes, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Howard Ave Fl 4, Yale Physicians Building, New Haven, CT 06519
Phone: 203-785-2593    Fax: 203-785-3970
Sam D Schild, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 330 Cedar Street, New Haven, CT 06510
Phone: 203-785-5430    
Mark A Dagostino, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Long Wharf Dr, Suite 302, New Haven, CT 06511
Phone: 203-776-1288    Fax: 203-776-7741
Ken Yanagisawa, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Long Wharf Dr, Suite 302, New Haven, CT 06511
Phone: 203-787-4244    Fax: 203-776-7741

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