| Martin J Hancock, MD | |
|
2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560 | |
| (860) 646-1157 | |
| Not Available |
| Full Name | Martin J Hancock |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2600 Tamarack Ave Ste 200, South Windsor, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538122049 | NPI | - | NPPES |
| 001352864 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 035286 (Connecticut) | Primary |
| Entity Name | Obgyn Group Of Eastern Connecticut Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376756908 PECOS PAC ID: 2769370352 Enrollment ID: O20040305000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin J Hancock, MD 360 Tolland Tpke, Suite 3b, Manchester, CT 06042-1771 Ph: (860) 646-1157 | Martin J Hancock, MD 2600 Tamarack Ave Ste 200, South Windsor, CT 06074-5560 Ph: (860) 646-1157 |
Dr. Kara Greenleat Keeton, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074 Phone: 860-648-2748 Fax: 860-648-2751 | |
Danielle M. Grieco, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 Phone: 860-646-1157 | |
Katerina M. Michaels-bogdan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 Phone: 860-646-1157 | |
Kathryn Pascucci, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1340 Sullivan Ave, South Windsor, CT 06074 Phone: 860-644-6676 Fax: 860-648-9501 | |
Stacy Joanne Spiro, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074 Phone: 860-648-2748 Fax: 860-648-2751 | |
Sarah Graceffa, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 Phone: 860-646-1157 |