| Physician Management Services Of Connecticut, Llc | |
|
34 Professional Park Rd Storrs CT 06268-1659 | |
| (888) 829-8550 | |
| Not Available |
| Full Name | Physician Management Services Of Connecticut, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 34 Professional Park Rd, Storrs, Connecticut |
| Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Of Connecticut, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: () - | Physician Management Services Of Connecticut, Llc 34 Professional Park Rd Storrs CT 06268-1659 Ph: (888) 829-8550 |
| NPI Number | 1316614720 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Medicare PECOS PAC ID | 2860876216 |
|---|---|
| Medicare Enrollment ID | O20220902000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316614720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mansfield Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34 Professional Park Road, Storrs, CT 06268 Phone: 860-487-0002 Fax: 860-429-1663 | |
Translational Medicine Clinic & Research Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1768 Storrs Rd, Suite A, Storrs, CT 06268 Phone: 860-477-0961 |