| Kevin Patrick Mackrell, | |
|
71 Haynes St, Manchester, CT 06040-4188 | |
| (860) 646-1222 | |
| Not Available |
| Full Name | Kevin Patrick Mackrell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 71 Haynes St, Manchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679042022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 1.076843 (Connecticut) | Primary |
| Entity Name | Northeast Emergency Medicine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982889598 PECOS PAC ID: 8729157797 Enrollment ID: O20080516000028 |
| Entity Name | Nems Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114482882 PECOS PAC ID: 2466792833 Enrollment ID: O20190321000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Patrick Mackrell, 112 Mansfield Ave, Willimantic, CT 06226-2045 Ph: () - | Kevin Patrick Mackrell, 71 Haynes St, Manchester, CT 06040-4188 Ph: (860) 646-1222 |
Dr. Franklin George Gillig, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-647-6412 | |
Dr. Dinesh S. Shah, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 | |
Dr. Andreas John Bojko, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-647-4778 | |
Jesse Fisk, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 | |
Elizabeth Dalchand, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 646-706-1136 | |
Dr. Joel J Reich, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-647-6866 | |
Dr. Jake Vincent Alvaro, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 |