| Mrs Carolyn B Carroll, MD | |
|
8 East Main Street, Suite 101, Clinton, CT 06413-2058 | |
| (860) 669-6156 | |
| (860) 664-0285 |
| Full Name | Mrs Carolyn B Carroll |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 36 Years |
| Location | 8 East Main Street, Clinton, 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 |
|---|---|---|---|
| 1376557199 | NPI | - | NPPES |
| 001348714 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | CT034871 (Connecticut) | Primary |
| 207ND0900X | Dermatology - Dermatopathology | CT034871 (Connecticut) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Skinhealth Llp | 9638309362 | 38 |
| Entity Name | Connecticut Skinhealth Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649606385 PECOS PAC ID: 9638309362 Enrollment ID: O20140225001960 |
| Entity Name | Integrated Dermatology Of Clinton Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457728883 PECOS PAC ID: 7416257381 Enrollment ID: O20151125000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carolyn B Carroll, MD 8 East Main Street, Suite 101, Clinton, CT 06413-2058 Ph: (860) 669-6156 | Mrs Carolyn B Carroll, MD 8 East Main Street, Suite 101, Clinton, CT 06413-2058 Ph: (860) 669-6156 |
Mrs. Sharon Henrietta Barrett, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8 East Main Street, Suite 101, Clinton, CT 06413 Phone: 860-669-6156 Fax: 860-664-0285 | |
Mrs. Ellen A Markstein, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8 East Main Street, Suite 101, Clinton, CT 06413 Phone: 860-669-6156 Fax: 860-664-0285 |