| Ms Doreen A Rackliffe, PA-C | |
|
255 N Main St, Suite 100, Bristol, CT 06010-4972 | |
| (860) 582-3942 | |
| (860) 584-6529 |
| Full Name | Ms Doreen A Rackliffe |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 255 N Main St, Bristol, 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 |
|---|---|---|---|
| 1710965397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 000825 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Mary's Hospital | Waterbury, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 644 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Doreen A Rackliffe, PA-C 255 North Main Street, Suite 100, Bristol, CT 06010 Ph: (860) 582-3942 | Ms Doreen A Rackliffe, PA-C 255 N Main St, Suite 100, Bristol, CT 06010-4972 Ph: (860) 582-3942 |
Ashley Anne Proulx, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Pine St Ste 104, Bristol, CT 06010 Phone: 860-584-8291 |
Gina F Lidestri, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3313 |
Mr. Joseph Claude Labell Jr., MHS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1301 Farmington Ave, Bristol, CT 06010 Phone: 860-589-4501 |
Shelby Spazzarini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Collins Rd, Bristol, CT 06010 Phone: 860-589-8882 Fax: 860-585-8898 |
Erica Stolarz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3000 |
Christopher Tagliavini, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 22 Pine St, Bristol, CT 06010 Phone: 860-584-8291 Fax: 860-584-8354 |
Antonio Santoro, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Bristol Hospital, Brewster Rd., Bristol, CT 06011 Phone: 860-585-3528 |