| Mystic Geriatrics, Llc | |
|
3 Heron Rd Mystic CT 06355-3253 | |
| (860) 536-5302 | |
| (860) 536-5302 |
| Full Name | Mystic Geriatrics, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Heron Rd, Mystic, Connecticut |
| Authorized Official Name and Position | June Fliri (MANAGER) |
| Authorized Official Contact | 8605368882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mystic Geriatrics, Llc 3 Heron Rd Mystic CT 06355-3253 Ph: (860) 536-5302 | Mystic Geriatrics, Llc 3 Heron Rd Mystic CT 06355-3253 Ph: (860) 536-5302 |
| NPI Number | 1336167238 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 07/20/2015 |
| Medicare PECOS PAC ID | 0547578841 |
|---|---|
| Medicare Enrollment ID | O20151007000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336167238 | NPI | - | NPPES |
| Provider Name | Michael J Feltes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689690216 PECOS PAC ID: 2567410707 Enrollment ID: I20100331000249 |
| Provider Name | Karen Terwilliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245616705 PECOS PAC ID: 0446569719 Enrollment ID: I20151028000314 |
Main Medical-mystic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Clara Dr, Suite 201, Mystic, CT 06355 Phone: 860-536-1666 Fax: 860-536-9770 | |
David Schwindt Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23 Clara Drive, Suite 204, Mystic, CT 06355 Phone: 860-572-0010 Fax: 860-536-2799 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Fishtown Rd, Mystic, CT 06355 Phone: 860-980-8330 Fax: 860-980-8330 | |
Primary Care Of Mystic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E Main St, Mystic, CT 06355 Phone: 860-572-2988 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Mistuxet Ave, Mystic, CT 06355 Phone: 860-536-8613 | |
Child And Family Agency Of Southeastern Connecticut Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Oslo St, Mystic, CT 06355 Phone: 860-437-4550 Fax: 860-661-4262 |