| Dana Cavicke, MD | |
|
12 Lathrop Road, Plainfield, CT 06374 | |
| (860) 564-6293 | |
| (860) 564-4879 |
| Full Name | Dana Cavicke |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 12 Lathrop Road, Plainfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639180607 | NPI | - | NPPES |
| 010041058CT01 | Other | CT | ANTHEM BLUE SHIELF |
| P3099896 | Other | CT | OXFORD |
| 001410589 | Medicaid | CT | |
| 2V3866 | Other | CT | HEALTHNET |
| 041058 | Other | CT | CONNECTICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 041058 (Connecticut) | Primary |
| Entity Name | United Community And Family Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467482539 PECOS PAC ID: 9032012497 Enrollment ID: O20040202000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Cavicke, MD 12 Lathrop Road, Plainfield, CT 06374 Ph: (860) 564-6293 | Dana Cavicke, MD 12 Lathrop Road, Plainfield, CT 06374 Ph: (860) 564-6293 |
Claire Marie Warren, MEDICAL DOCTOR Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 558 Norwich Road, Plainfield, CT 06374 Phone: 860-564-4054 Fax: 860-564-0354 | |
Paul L Dalbec, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 558 Norwich Rd, Plainfield, CT 06374 Phone: 860-564-4054 Fax: 860-564-0354 |