| Family Medicine Partnership, Pc | |
|
921 Boston Turnpike Bolton CT 06043 | |
| (860) 646-0649 | |
| (860) 649-9195 |
| Full Name | Family Medicine Partnership, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 921 Boston Turnpike, Bolton, Connecticut |
| Authorized Official Name and Position | Ronald L Buckman (PRESIDENT) |
| Authorized Official Contact | 8606460649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Partnership, Pc 921 Boston Turnpike P O. Box 9547 Bolton CT 06043 Ph: (860) 646-0649 | Family Medicine Partnership, Pc 921 Boston Turnpike Bolton CT 06043 Ph: (860) 646-0649 |
| NPI Number | 1306995725 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 01/25/2013 |
| Medicare PECOS PAC ID | 0941365738 |
|---|---|
| Medicare Enrollment ID | O20090211000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306995725 | NPI | - | NPPES |
| 004199825 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Piper P Lillard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104920065 PECOS PAC ID: 9830254622 Enrollment ID: I20090211000199 |
| Provider Name | Ronald Buckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871561092 PECOS PAC ID: 4385709179 Enrollment ID: I20100908000165 |
| Provider Name | Mary C D Amico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710312533 PECOS PAC ID: 4981836905 Enrollment ID: I20140407000163 |
| Provider Name | Steven Spaderna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114587193 PECOS PAC ID: 1759611916 Enrollment ID: I20191001002468 |
Mgc Behavioral Consulting Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Pond View Rd, Bolton, CT 06043 Phone: 860-280-4712 |