Robert S Prewitt (NPI# 1184683443, PAC ID# 1759440837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1184683443 |
| PAC ID by PECOS | 1759440837 |
| Professional Enrollment ID | I20090302000650 |
| Full Name | Robert S Prewitt |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
400 Mill Plain Rd Fairfield CT 06824-5048 |
| Phone Number | 2032553573 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 Mill Plain Rd, Fairfield, CT 06824-5048 | 2032553573 | NORTHEAST MEDICAL GROUP INC |
| 2900 Main St, 1d, Stratford, CT 06614-4946 | 2033780092 | REHABILITATION ASSOCIATES INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
400 MILL PLAIN RD |
| City | FAIRFIELD |
| State | CT |
| Zip | 06824-5048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Kamlani | Nurse Practitioner | 400 Mill Plain Rd, Fairfield, CT 06824-5048 | |
| Stuart Miller | General Practice | 400 Mill Plain Rd, Fairfield, CT 06824-5048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence D Ludwig | Psychologist, Clinical | 75 Hillside Rd, Fairfield, CT 06824-2840 | |
| Linda M Ludwig | Psychologist, Clinical | 75 Hillside Rd, Fairfield, CT 06824-2840 | |
| Michael Tobet | Chiropractic | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| David P Isenberg | Psychologist, Clinical | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| Maxine D Greenberg | Clinical Social Worker | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| Maryellen Walpole | Clinical Social Worker | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| Elba I Crespo | Psychologist, Clinical | 60 Katona Dr, Suite 25, Fairfield, CT 06824-3544 | |
| Angelica Fontanez | Clinical Social Worker | Fairfield Counseling Group LLC | 60 Katona Dr, Fairfield, CT 06824-3544 |
| Susan Lipman Henry | Clinical Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | |
| Rose Mary Chuley | Psychologist, Clinical | 21 Sigwin Dr, Fairfield, CT 06824-4005 | |
| Find all physicians in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | FAIRFIELD + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Robert S Prewitt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.