| Piper P Lillard, DO | |
|
921 Boston Tpke, Suite 2, Bolton, CT 06043-7403 | |
| (860) 646-0649 | |
| (860) 649-9195 |
| Full Name | Piper P Lillard |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 921 Boston Tpke, Bolton, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104920065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 230057 (Connecticut) | Primary |
| Entity Name | Family Medicine Partnership Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306995725 PECOS PAC ID: 0941365738 Enrollment ID: O20090211000177 |
| Entity Name | Alignmed Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180206000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Piper P Lillard, DO 54 Eastbrook Hts Apt B, Mansfield Center, CT 06250-1669 Ph: (860) 456-0586 | Piper P Lillard, DO 921 Boston Tpke, Suite 2, Bolton, CT 06043-7403 Ph: (860) 646-0649 |
Irene-lee Ann Klein, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 921 Boston Tpke, Bolton, CT 06043 Phone: 860-646-0649 Fax: 860-512-0380 | |
Dr. Ronald L Buckman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 Boston Tpke, Bolton, CT 06043 Phone: 860-646-0649 Fax: 860-649-9195 |