| Mrs Cynthia E Clarke, DO, RD | |
|
31 Backland Rd, South Glastonbury, CT 06073-3127 | |
| (585) 414-4722 | |
| Not Available |
| Full Name | Mrs Cynthia E Clarke |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 8 Years |
| Location | 31 Backland Rd, South Glastonbury, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750532214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 64143 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Hospital | Hartford, CT | Hospital |
| Day Kimball Hospital | Putnam, CT | Hospital |
| Windham Community Memorial Hospital | Willimantic, CT | Hospital |
| Griffin Hospital | Derby, CT | Hospital |
| Manchester Memorial Hospital | Manchester, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Imaging Partners Llc | 4183649098 | 71 |
| Tic Llc | 4880972819 | 38 |
| Jefferson Radiology Pc | 8729982525 | 97 |
| Connecticut Imaging Partners Llc | 4183649098 | 71 |
| Jefferson Radiology Pc | 8729982525 | 97 |
| Provider Name | Jefferson Radiology Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20031124000161 |
| Provider Name | Connecticut Imaging Partners Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20051011000041 |
| Provider Name | Tic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20161026002352 |
| Provider Name | Farmington Imaging Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20161028000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Cynthia E Clarke, DO, RD 31 Backland Rd, South Glastonbury, CT 06073-3127 Ph: (585) 414-4722 | Mrs Cynthia E Clarke, DO, RD 31 Backland Rd, South Glastonbury, CT 06073-3127 Ph: (585) 414-4722 |