Mary Beth Van Siclen, MD - Medicare Family Practice in Middletown, CT

Mary Beth Van Siclen, MD is a medicare enrolled "Family Medicine" physician in Middletown, Connecticut. She went to Georgetown University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Prohealth Physicians Pc, Mhs Primary Care, Inc, Middlesex Hospital and her current practice location is 90 S Main St, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 358-6418.

Mary Beth Van Siclen is licensed to practice in Connecticut (license number 61380) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730590860.

Contact Information

Mary Beth Van Siclen, MD
90 S Main St,
Middletown, CT 06457
(860) 358-6418
Not Available

Map and Direction




Physician's Profile

Full NameMary Beth Van Siclen
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location90 S Main St, Middletown, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Beth Van Siclen attended and graduated from Georgetown University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1730590860
  • Provider Enumeration Date: 05/12/2014
  • Last Update Date: 09/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5092033597
  • Enrollment ID: I20181003002665

Medical Identifiers

Medical identifiers for Mary Beth Van Siclen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730590860NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 61380 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Middlesex HospitalMiddletown, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Physicians Pc1355246950236
Mhs Primary Care, Inc4082507371143
Middlesex Hospital5092611731202

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Beth Van Siclen allows following entities to bill medicare on her behalf.
Entity NameProhealth Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602
Entity NameMiddlesex Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851350664
PECOS PAC ID: 5092611731
Enrollment ID: O20031216000518
Entity NameMhs Primary Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740666312
PECOS PAC ID: 4082507371
Enrollment ID: O20040202000945

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Beth Van Siclen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Beth Van Siclen, MD
90 S Main St,
Middletown, CT 06457-3649

Ph: () -
Mary Beth Van Siclen, MD
90 S Main St,
Middletown, CT 06457

Ph: (860) 358-6418

Reviews and Comments


Family Medicine Doctors in Middletown, CT

Mr. Thomas J Mclarney, MD
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Practice Location: 327 High St, Davison Health Center, Middletown, CT 06459
Phone: 860-685-2470    Fax: 860-685-2471
Dr. James Robert Ulager, M.D.
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Practice Location: 101 Centerpoint Dr Ste 105, Middletown, CT 06457
Phone: 860-215-2295    
Kimberly Legere-sharples, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 90 S Main St, Family Practice Group, Middletown, CT 06457
Phone: 860-358-6300    Fax: 860-358-9249
Matthew Huddleston, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 675 Main St, Middletown, CT 06457
Phone: 860-347-6971    Fax: 860-343-7379
Keith Sinusas, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 90 S Main St, Middletown, CT 06457
Phone: 860-344-6300    Fax: 860-344-9249
Alexandra Anne Carlson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 28 Crescent St, Middletown, CT 06457
Phone: 860-358-4798    
Dr. Matthew J. Raider, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 645 Saybrook Rd, Middletown, CT 06457
Phone: 860-767-4024    Fax: 860-344-9906

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.