Look up the most recent NPI and PECOS records

Frank Joseph Mongillo

Internal Medicine

Allopathic & Osteopathic Physicians

26 Elm Street, New Haven, CT 06510-2006

PECOS Enrollment

This provider is enrolled in PECOS as FRANK MONGILLO.

Based on the most recent information from CMS, provider Frank Joseph Mongillo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1811917289
Provider Type
Individual
Full Name
Mongillo, Frank Joseph
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

26 Elm Street, New Haven, CT 06510-2006

(203) 776-6845

(203) 777-9020

Mailing Location

26 Elm Street, New Haven, CT 06510-2006

(203) 776-6845

(203) 777-9020

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 035706 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 035706	Description Other	Issuer CONNECTICARE
ID 00135706200	Description Other	Issuer BLUE CARE FAMILY
ID C702	Description Other	Issuer BCBS
ID 1027208	Description Other	Issuer AETNA
ID 01036706	Description Other	Issuer CIGNA
ID 0443076	Description Other	Issuer UNITED HEALTHCARE
ID 943290	Description Other	Issuer HEALTH NET
ID P693817	Description Other	Issuer OXFORD

Frank Joseph Mongillo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer