| Karlyn Marie Mott, PA-C | |
|
80 Seymour Street, Hartford Hospital Medicine Dept, Hartford, CT 06102-5037 | |
| (860) 545-5176 | |
| Not Available |
| Full Name | Karlyn Marie Mott |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 80 Seymour Street, Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376853085 | NPI | - | NPPES |
| 003025224 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002500 (Connecticut) | Primary |
| 363AM0700X | Physician Assistant - Medical | 2500 (Connecticut) | Secondary |
| Entity Name | Trinity Health of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
| Mailing Address | Practice Location Address |
|---|---|
| Karlyn Marie Mott, PA-C P. O. Box 415933, Hartford Hospital Professional Services, Boston, MA 02241-5933 Ph: (860) 545-7602 | Karlyn Marie Mott, PA-C 80 Seymour Street, Hartford Hospital Medicine Dept, Hartford, CT 06102-5037 Ph: (860) 545-5176 |
Jenny Ann Rice, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102 Phone: 860-972-4670 |
Matthew Baxter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-545-5000 |
Brianna Southwick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St Bldg 502, Hartford, CT 06102 Phone: 860-972-0549 Fax: 860-545-5221 |
Carly Danielle Radcliffe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 |
Victoria Whitaker, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-972-2085 |
Kaitlyn Elizabeth Jarest, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-972-0000 |
Anna E Avakian, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-972-5022 |