| Domenic William Casablanca, MD | |
|
42 E High St Ste 205, East Hampton, CT 06424-1073 | |
| (860) 358-3500 | |
| Not Available |
| Full Name | Domenic William Casablanca |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 42 E High St Ste 205, East Hampton, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548227267 | NPI | - | NPPES |
| 001376020 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 204552 (New York) | Secondary |
| 207Q00000X | Family Medicine | MA060820 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | 037602 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Middlesex Hospital Homecare | Middletown, CT | Hospice |
| Middlesex Hospital | Middletown, CT | Hospital |
| Griffin Hospital | Derby, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Middlesex Hospital | 5092611731 | 208 |
| Entity Name | Middlesex Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851350664 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000518 |
| Entity Name | Mhs Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093138935 PECOS PAC ID: 4082507371 Enrollment ID: O20140814001234 |
| Mailing Address | Practice Location Address |
|---|---|
| Domenic William Casablanca, MD 28 Crescent St, Middletown, CT 06457-3650 Ph: (860) 358-6000 | Domenic William Casablanca, MD 42 E High St Ste 205, East Hampton, CT 06424-1073 Ph: (860) 358-3500 |
Dr. Cathy J Zack, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Main St, East Hampton, CT 06424 Phone: 860-267-2593 Fax: 860-267-4889 | |
Karren Agyekum, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 E High St, East Hampton, CT 06424 Phone: 866-389-2727 | |
Ana Mariel Garcia, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 E High St Ste 205, East Hampton, CT 06424 Phone: 860-358-3500 Fax: 860-358-8322 |