| Mr Thomas Kucharchik, MD | |
|
481 Gold Star Hwy, Suite 100, Groton, CT 06340-6702 | |
| (860) 446-8858 | |
| (860) 405-2140 |
| Full Name | Mr Thomas Kucharchik |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 481 Gold Star Hwy, Groton, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558473769 | NPI | - | NPPES |
| 097852 | Medicaid | SC | |
| 761101 | Other | CONNECTICARE | |
| 030897 | Other | CT | HEALTHNET |
| NLP057 | Other | CT | OXFORD |
| SC11353402 | Other | SC | MEDICARE PTAN |
| 001258961 | Medicaid | CT | |
| 010025896CT01 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25896 (Connecticut) | Primary |
| 207Q00000X | Family Medicine | 9785 (South Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Kucharchik, MD 635 Main St, Attn: Credentialing Dpt, Middletown, CT 06457-2718 Ph: (860) 347-6971 | Mr Thomas Kucharchik, MD 481 Gold Star Hwy, Suite 100, Groton, CT 06340-6702 Ph: (860) 446-8858 |
Paul David Seeman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Route 12 Bldg 449 Professional Affairs, Naval Ambulatory Care Center, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590 | |
Dr. John William Dorunda, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Nbhc Groton, Groton, CT 06340 Phone: 860-694-4123 Fax: 860-694-1330 | |
Matthew Martin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 904-542-7300 | |
Dr. Jennifer Donahue, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Poheganut Dr, Groton, CT 06340 Phone: 860-448-6303 Fax: 860-448-9678 | |
Dr. Ryan Christopher Bartle, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-235-6362 | |
Dr. Laura Anne Watts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Poheganut Dr, Groton, CT 06340 Phone: 860-448-6303 Fax: 860-448-9678 | |
John Christopher Daniel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Trout Ave Bldg 141, Naval Submarine Medical Research Laboratory, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-3590 |