| Dr Lisa Marie Mack, MD | |
|
85 Seymour St, Suite 1019, Hartford, CT 06106-5501 | |
| (860) 246-4029 | |
| (860) 240-7072 |
| Full Name | Dr Lisa Marie Mack |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 15 Years |
| Location | 85 Seymour St, Hartford, 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 |
|---|---|---|---|
| 1689985160 | NPI | - | NPPES |
| 12682481 | Other | CT | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0048223 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Starling Physicians, Pllc | 7517863749 | 237 |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
| Entity Name | Starling Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467537290 PECOS PAC ID: 7517863749 Enrollment ID: O20031209000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Marie Mack, MD 2110 Silas Deane Hwy, Rocky Hill, CT 06067-2313 Ph: (860) 258-3470 | Dr Lisa Marie Mack, MD 85 Seymour St, Suite 1019, Hartford, CT 06106-5501 Ph: (860) 246-4029 |
Ellen Robinson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 100 Retreat Ave, Suite 201, Hartford, CT 06106 Phone: 860-246-8568 Fax: 860-728-5076 | |
Howard Andrew Shaw, MD, MBA Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 2110, Hartford, CT 06105 Phone: 860-714-7945 Fax: 860-714-8880 | |
Mark Wolf, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 Asylum Ave, Suite 4319, Hartford, CT 06105 Phone: 860-714-4440 Fax: 860-714-8012 | |
Behzad Satvat, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 136 Retreat Ave, Hartford, CT 06106 Phone: 860-547-0306 Fax: 860-525-9782 | |
Felice Colliton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19 Woodland Street, Suite 31, Hartford, CT 06105 Phone: 860-728-1212 Fax: 860-724-5224 | |
Elena Tunitsky-bitton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour Street, Hartford Hospital Professional Services, Hartford, CT 06102 Phone: 860-545-4338 | |
Dr. Charles J. Ingardia, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour Street, Hartford Hospital Maternal-fetal Medicine, Hartford, CT 06102 Phone: 860-545-2884 |