Gary Irwin Bykoff, MD
Individual provider Active NPI Internal Medicine Physician · Vernon, CT
NPI 1841389608 · NPPES record last updated Aug 24, 2010
Key facts
- NPI
- 1841389608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25799 (CT)
- Practice address
- 281 Hartford Turnpike
Suite 303
Vernon, CT 06066 - Phone
- (860) 871-8543
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
281 Hartford Tpke
Suite 303
Vernon, CT 06066-4707
Phone (860) 871-8543
Hospital & facility affiliations
- Manchester Memorial Hospital
- Rockville General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110421000334 | CT | Practitioner - Internal Medicine | 0941485791 | Practice locations: Vernon, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25799 | CT | Yes |
Addresses
Primary practice location
281 Hartford Turnpike
Suite 303
Vernon, CT 06066
Mailing address
281 Hartford Tpke
Suite 303
Vernon, CT 06066
Phone (860) 871-8543
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010025799CT01 | Other | CT | BCBS |
| 001257997 | Medicaid | CT | |
| 025799 | Other | CT | CTC |
Other providers in Vernon, CT
- Jeffrey A Burns
- Susan F Burroughs
- Hubert Sutton Bush Jr.
- Paul I Bush
- Kristen Buteau
- Tracy Bylan
- C.B.R.T.,LLC
- Stephen B Callis
- Eric Anthony Camyre
- Timothy J. Caouette
All providers in Vernon, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.