| Mhs Primary Care Inc | |
|
154 Main St Old Saybrook CT 06475-2373 | |
| (860) 661-5976 | |
| (860) 358-8664 |
| Full Name | Mhs Primary Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 154 Main St, Old Saybrook, Connecticut |
| Authorized Official Name and Position | Susan Martin (VP FINANCE) |
| Authorized Official Contact | 8603583005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhs Primary Care Inc 28 Crescent St Middlesex Hospital Urgent Care Middletown CT 06457-3654 Ph: (860) 358-4870 | Mhs Primary Care Inc 154 Main St Old Saybrook CT 06475-2373 Ph: (860) 661-5976 |
| NPI Number | 1093138935 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 04/07/2022 |
| Medicare PECOS PAC ID | 4082507371 |
|---|---|
| Medicare Enrollment ID | O20140814001234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093138935 | NPI | - | NPPES |
| 008061130 | Medicaid | CT | |
| 008061268 | Medicaid | CT | |
| 008050108 | Medicaid | CT | |
| 008050909 | Medicaid | CT |
| Provider Name | Judith Deshpande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528008489 PECOS PAC ID: 4981647245 Enrollment ID: I20050607001116 |
| Provider Name | Deidre Pagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740390103 PECOS PAC ID: 8325048911 Enrollment ID: I20070104000404 |
| Provider Name | Rosemarie G Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396930491 PECOS PAC ID: 4082795950 Enrollment ID: I20080116000732 |
| Provider Name | Domenic W Casablanca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548227267 PECOS PAC ID: 9739153826 Enrollment ID: I20090916000371 |
| Provider Name | Keith Sinusas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063482909 PECOS PAC ID: 8527108737 Enrollment ID: I20091221000092 |
| Provider Name | Kathryn M Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649357807 PECOS PAC ID: 8527191725 Enrollment ID: I20100809000012 |
| Provider Name | Henry Puciato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801183827 PECOS PAC ID: 0446418883 Enrollment ID: I20120215000110 |
| Provider Name | Lisa Marie Bergeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366715179 PECOS PAC ID: 0143480350 Enrollment ID: I20120327000056 |
| Provider Name | Israel Cordero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124281613 PECOS PAC ID: 3577719830 Enrollment ID: I20120802000297 |
| Provider Name | Nathan W Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174868095 PECOS PAC ID: 0345494373 Enrollment ID: I20130129000201 |
| Provider Name | Nazmiye Esra Hatiboglu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225266547 PECOS PAC ID: 7911144761 Enrollment ID: I20130926000574 |
| Provider Name | Nicole M Kirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447672233 PECOS PAC ID: 7719118546 Enrollment ID: I20140320001027 |
| Provider Name | Zoe G Mcglamery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013304526 PECOS PAC ID: 6507177946 Enrollment ID: I20150625001874 |
| Provider Name | Danielle M Grillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013391101 PECOS PAC ID: 3779893581 Enrollment ID: I20151106001538 |
| Provider Name | Robyn C Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316323397 PECOS PAC ID: 5294035416 Enrollment ID: I20151119001901 |
| Provider Name | Jennifer A Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083087142 PECOS PAC ID: 5991007635 Enrollment ID: I20160112001643 |
| Provider Name | Stacey Durr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073067930 PECOS PAC ID: 5193012292 Enrollment ID: I20160916001418 |
| Provider Name | Carol Standish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598219636 PECOS PAC ID: 8820368970 Enrollment ID: I20170721001672 |
| Provider Name | Amy R Scheel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437687282 PECOS PAC ID: 0749551125 Enrollment ID: I20170803000295 |
| Provider Name | Meredith Lindner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942616826 PECOS PAC ID: 4183995319 Enrollment ID: I20170807003197 |
| Provider Name | Patrick T Kehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265872956 PECOS PAC ID: 7214170018 Enrollment ID: I20170816000286 |
| Provider Name | Stephanie Schmidt |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366854499 PECOS PAC ID: 4981909884 Enrollment ID: I20181106001809 |
| Provider Name | Stephen Daniel Socha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013486034 PECOS PAC ID: 0244125573 Enrollment ID: I20190307002955 |
| Provider Name | Jason Mark Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326497876 PECOS PAC ID: 0648566588 Enrollment ID: I20191111000094 |
| Provider Name | Peder Johnsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639791577 PECOS PAC ID: 2961823976 Enrollment ID: I20200529002020 |
| Provider Name | Kristi Poehlmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194325704 PECOS PAC ID: 9133530843 Enrollment ID: I20201202001245 |
| Provider Name | Allegra Ponshock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073001996 PECOS PAC ID: 4587911821 Enrollment ID: I20210922003672 |
| Provider Name | Hannah Radecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154819829 PECOS PAC ID: 8527318757 Enrollment ID: I20211109002309 |
| Provider Name | Paul Niedbala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194474122 PECOS PAC ID: 5597152017 Enrollment ID: I20220429001845 |
| Provider Name | Mara Shaw Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851004782 PECOS PAC ID: 0840664603 Enrollment ID: I20230316002651 |
| Provider Name | Ali Tesoriero Saslafsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700567039 PECOS PAC ID: 8820444763 Enrollment ID: I20231027002990 |
| Provider Name | Steven Ferrara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396815577 PECOS PAC ID: 3779578695 Enrollment ID: I20240711000517 |
Advancedcare Options Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy, Suite C, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 | |
Advancedcare Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 860-510-0888 Fax: 860-510-0020 | |
Susanna Thomas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Boston Post Rd, Old Saybrook, CT 06475 Phone: 860-388-9250 Fax: 860-388-9687 | |
Mhs Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Main St, Old Saybrook, CT 06475 Phone: 860-661-5976 Fax: 860-358-8664 | |
Community Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Main St, 2nd Floor, Old Saybrook, CT 06475 Phone: 860-388-4433 Fax: 860-388-4434 | |
Partners In Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1358 Boston Post Rd, Unit 1, Old Saybrook, CT 06475 Phone: 860-510-0792 Fax: 860-510-0793 |