Evernorth Care Providers - Delaware Pa is a medicare enrolled primary clinic (Internal Medicine) in East Berlin, Connecticut. The current practice location for Evernorth Care Providers - Delaware Pa is 1224 Mill St Ste 224, East Berlin, Connecticut. For appointments, you can reach them via phone at
(773) 292-4800. The mailing address for Evernorth Care Providers - Delaware Pa is 730 Cool Springs Blvd Ste 500, Franklin, Tennessee and phone number is (773) 292-4800.
Evernorth Care Providers - Delaware Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1437803012. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(773) 292-4800.
Primary Care Clinic Profile
| Full Name | Evernorth Care Providers - Delaware Pa |
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| Speciality | Internal Medicine |
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| Location | 1224 Mill St Ste 224, East Berlin, Connecticut |
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| Authorized Official Name and Position | Grace V Blue (CREDENTIALING SR. MANAGER) |
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| Authorized Official Contact | 7732924800 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Evernorth Care Providers - Delaware Pa
730 Cool Springs Blvd Ste 500
Franklin
TN 37067-7331
Ph: (773) 292-4800 | Evernorth Care Providers - Delaware Pa
1224 Mill St Ste 224
East Berlin
CT 06023-1159
Ph: (773) 292-4800 |
NPI Details:
| NPI Number | 1437803012 |
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| Provider Enumeration Date | 02/11/2022 |
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| Last Update Date | 01/22/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6002217973 |
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| Medicare Enrollment ID | O20240117002611 |
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Medical Identifiers
Medical identifiers for Evernorth Care Providers - Delaware Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437803012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Evernorth Care Providers - Delaware Pa acts as a billing entity for following providers:
| Provider Name | Shannon Alsop |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1003043803
PECOS PAC ID: 7517121742
Enrollment ID: I20240117002661 |
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