Richard L Brody, MD in Willimantic, CT - Medicare Family Medicine

Richard L Brody, MD is a medicare enrolled "Family Medicine" physician in Willimantic, Connecticut. His current practice location is 1315 Main St, Suite 2, Willimantic, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 450-7471.

Richard L Brody is licensed to practice in Connecticut (license number 142207) 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 1457330912.

Contact Information

	Richard L Brody, MD
	1315 Main St, Suite 2, Willimantic, CT 06226-1948
	(860) 450-7471
	Not Available

Physician's Profile

Full Name	Richard L Brody
Gender	Male
Speciality	Family Medicine
Location	1315 Main St, Willimantic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457330912
Provider Enumeration Date: 01/12/2006
Last Update Date: 11/22/2011

Medicare PECOS Information:

PECOS PAC ID: 4688620149
Enrollment ID: I20050328000768

Medical Identifiers

Medical identifiers for Richard L Brody such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457330912	NPI	-	NPPES
010042204CT01	Other	CT	ANTHEM BCBS (GENERATIONS)
145674	Other		CONNECTICARE
3985938	Other	CT	AETNA CLAIMS (GENERATIONS)
3487457015	Other	CT	CIGNA (GENERATIONS)
001422071	Medicaid	CT
080001731	Other	CT	MEDICARE PIN (GENERATIONS)
PAR	Other	CT	CHN-PPO (GENERATIONS)
11113774	Other	CT	HMC-PPO / MULTIPLAN (GENERATIONS)
1457330912	Other	CT	CIGNA
007733871	Other	CT	MEDICAID (GENERATIONS)
145674-G525	Other	CT	CONNECTICARE (GENERATIONS)
2444498	Other	CT	WELLCARE (GENERATIONS)
P3319349	Other	CT	OXFORD (GENERATIONS)
7896129	Other		AETNA
2V5016	Other	CT	HEALTHNET (GENERATIONS)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	142207 (Connecticut)	Primary
207P00000X	Emergency Medicine	42207 (Connecticut)	Secondary

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. Richard L Brody 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
Richard L Brody, MD 1315 Main St, Suite 2, Willimantic, CT 06226-1948 Ph: (860) 450-7471	Richard L Brody, MD 1315 Main St, Suite 2, Willimantic, CT 06226-1948 Ph: (860) 450-7471

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Family Medicine Doctors in Willimantic, CT

Morton Glasser, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213
Carol Jean Annino, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213
Amy Rose Benenson, MSPAS, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 289 Windham Rd, Willimantic, CT 06226 Phone: 860-343-0302
Ms. Kathryn Nelson, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 High Street, Willimantic, CT 06226 Phone: 860-465-2465
Dr. Dana Wiseman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213
Nestor Enrique Torres, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 Main St, Willimantic, CT 06226 Phone: 860-450-7471

Richard L Brody, MD - Medicare Family Medicine in Willimantic, CT