Individual ProviderWill RutlandPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address300 George St, Suite 901, New Haven, CT 06511-6624(203) 785-2095PECOS EnrollmentBased on the most recent information from CMS, provider Will Rutland is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194256271Provider TypeIndividualFull NameRutland, WillCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date3/21/2017Last Updated6/24/2021Contact InformationPractice LocationPractice Address300 George St, Suite 901, New Haven, CT 06511-6624Phone(203) 785-2095FaxUnlisted FaxMailing LocationMailing Address300 George St, Suite 901, New Haven, CT 06511-6624Phone(203) 785-2095FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense41392AlabamaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer