| Hope Medical Care Llc | |
|
11 Main St Moosup CT 06354-1524 | |
| (401) 338-0673 | |
| Not Available |
| Full Name | Hope Medical Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11 Main St, Moosup, Connecticut |
| Authorized Official Name and Position | Susie Bernado (APRN) |
| Authorized Official Contact | 4013380673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Medical Care Llc 11 Main St Moosup CT 06354-1524 Ph: (401) 338-0673 | Hope Medical Care Llc 11 Main St Moosup CT 06354-1524 Ph: (401) 338-0673 |
| NPI Number | 1780369504 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 09/16/2024 |
| Medicare PECOS PAC ID | 8527422021 |
|---|---|
| Medicare Enrollment ID | O20230918001689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780369504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Elizabeth M B Visone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114924172 PECOS PAC ID: 4880602903 Enrollment ID: I20060331000366 |
| Provider Name | Susie Bernado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295244135 PECOS PAC ID: 9739445461 Enrollment ID: I20171113001064 |
Richard J. Wilcon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Plainfield Rd, Moosup, CT 06354 Phone: 860-564-4068 Fax: 860-564-4879 |