| Carolyn Ann Roderick, PHYSICIANS ASSISTANT | |
|
9 Farm Springs Rd, Farmington, CT 06032-2576 | |
| (860) 243-4899 | |
| (860) 392-3571 |
| Full Name | Carolyn Ann Roderick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 9 Farm Springs Rd, Farmington, 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 |
|---|---|---|---|
| 1548336258 | NPI | - | NPPES |
| 004224490 | Medicaid | CT | |
| 290001360CT05 | Other | CT | BLUE CROSS & BLUE SHIELD |
| 2V6845 | Other | CT | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001360 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Healthcare At Home | East hartford, CT | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1555 |
| Urgent Care Medical Associates, Llc | 7214107515 | 113 |
| Entity Name | Urgent Care Medical Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730479254 PECOS PAC ID: 7214107515 Enrollment ID: O20111018000344 |
| Entity Name | Hartford Healthcare Medical Group Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Ann Roderick, PHYSICIANS ASSISTANT 1290 Silas Deane Hwy, Hhc-cvo, Wethersfield, CT 06109-4337 Ph: (860) 972-5507 | Carolyn Ann Roderick, PHYSICIANS ASSISTANT 9 Farm Springs Rd, Farmington, CT 06032-2576 Ph: (860) 243-4899 |
Mr. Jason S. Pinho, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave Ste 110, Farmington, CT 06032 Phone: 860-549-3210 |
Lisa Petricca, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 |
Alexandra Shaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6649 |
Ed Haggag, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Birdseye Rd Ste 260, Farmington, CT 06032 Phone: 203-518-8414 |
Mr. Paul Christopher Polzella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave, Suite 210, Farmington, CT 06032 Phone: 860-548-7338 Fax: 860-674-4232 |
Shannon Carey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 |
Bridget Ann Walsh, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2000 |