| Dr Carmine Ciccarelli, MD | |
|
140 Hazard Ave, Suite 101, Enfield, CT 06082-4520 | |
| (860) 272-2940 | |
| (860) 272-2941 |
| Full Name | Dr Carmine Ciccarelli |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 140 Hazard Ave, Enfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285615393 | NPI | - | NPPES |
| 001294206 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 029420 (Connecticut) | Primary |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carmine Ciccarelli, MD 140 Hazard Ave, Suite 101, Enfield, CT 06082-4520 Ph: (860) 272-2940 | Dr Carmine Ciccarelli, MD 140 Hazard Ave, Suite 101, Enfield, CT 06082-4520 Ph: (860) 272-2940 |
Thomas Aloysius Mcdonald, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7 Elm St Fl 3, Enfield, CT 06082 Phone: 413-785-4666 Fax: 413-846-4756 | |
Jay Allen Kimmel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 Elm St Ste 302, Enfield, CT 06082 Phone: 203-253-0276 | |
Renee Prince, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7 Elm St, Suite 203, Enfield, CT 06082 Phone: 860-763-4041 Fax: 860-763-5221 | |
Dr. Robert P Dudek, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 140 Hazard Ave, Suite 101, Enfield, CT 06082 Phone: 860-272-2940 |