East Hartford Medical Center Inc is a
Pediatrics based in East Hartford, Connecticut. East Hartford Medical Center Inc is licensed to practice in Connecticut (license number 033904) and their current practice location is
580 Burnside Avenue, Suite 4, East Hartford, Connecticut. It can be reached at their office (for appointments etc.) via phone at
(860) 528-5068.
NPI number for East Hartford Medical Center Inc is 1942274113 and their current mailing address is 580 Burnside Avenue, Suite 4, East Hartford, Connecticut. East Hartford Medical Center Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1942274113.
Healthcare Provider's Profile
| Full Name | East Hartford Medical Center Inc |
|---|
| Type | Facility |
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| Speciality | Pediatrics |
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| Location | 580 Burnside Avenue, East Hartford, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942274113
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 03/06/2015
Medical Identifiers
Medical identifiers for East Hartford Medical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942274113 | NPI | - | NPPES |
| 004224622 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 001764 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | 0425088 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | 046516 (Connecticut) | Secondary |
| 208000000X | Pediatrics | 033904 (Connecticut) | Primary |
| 208000000X | Pediatrics | 031248 (Connecticut) | Secondary |
| 363L00000X | Nurse Practitioner | 0033368 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 004611 (Connecticut) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 4721 (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. East Hartford Medical Center Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
East Hartford Medical Center Inc
580 Burnside Avenue, Suite 4,
East Hartford, CT 06108
Ph: (860) 528-5068 | East Hartford Medical Center Inc
580 Burnside Avenue, Suite 4,
East Hartford, CT 06108
Ph: (860) 528-5068 |
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