| Domenic William Casablanca, MD | |
|
4 Corporate Dr, Suite 195, Shelton, CT 06484-6211 | |
| (203) 225-0375 | |
| Not Available |
| Full Name | Domenic William Casablanca |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 4 Corporate Dr, Shelton, 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 | 037602 (Connecticut) | Primary |
| 207Q00000X | Family Medicine | 204552 (New York) | Secondary |
| 207Q00000X | Family Medicine | MA060820 (New Jersey) | Secondary |
| 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 4 Corporate Dr, Suite 195, Shelton, CT 06484-6211 Ph: (203) 225-0375 | Domenic William Casablanca, MD 4 Corporate Dr, Suite 195, Shelton, CT 06484-6211 Ph: (203) 225-0375 |
Dr. Saroja Koneswaran, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 21 Huntington Plaza, Shelton, CT 06484 Phone: 203-929-6358 Fax: 203-929-3826 | |
Dr. Elizabeth Arbia, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Commerce Dr, Shelton, CT 06484 Phone: 203-929-7331 Fax: 203-925-0330 | |
Stephanie J Rowe, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 887 Bridgeport Ave, Shelton, CT 06484 Phone: 203-225-6020 Fax: 203-384-3829 | |
Dr. Kenneth Ward, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Commerce Dr, Shelton, CT 06484 Phone: 203-929-7331 Fax: 203-925-0330 | |
Dr. Fadeke O Longe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Corporate Dr, Shelton, CT 06484 Phone: 203-225-0375 | |
Dr. Bharvi Ashok Balar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 224 Leavenworth Rd, Shelton, CT 06484 Phone: 203-926-1206 Fax: 203-926-0413 | |
Hanna Lee, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 25 Constitution Blvd S, Shelton, CT 06484 Phone: 203-924-7334 |