| Saint Francis Care Medical Group, P.c. | |
|
114 Woodland St Saint Francis Care Medical Group Pc Hartford CT 06105-1208 | |
| (860) 979-1880 | |
| Not Available |
| Full Name | Saint Francis Care Medical Group, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 114 Woodland St, Hartford, Connecticut |
| Authorized Official Name and Position | Surendra Khera (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8607144361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Francis Care Medical Group, P.c. 1000 Asylum Ave Suite 4309 Hartford CT 06105-1770 Ph: (860) 714-1325 | Saint Francis Care Medical Group, P.c. 114 Woodland St Saint Francis Care Medical Group Pc Hartford CT 06105-1208 Ph: (860) 979-1880 |
| NPI Number | 1760690101 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 03/11/2016 |
| Medicare PECOS PAC ID | 3274436845 |
|---|---|
| Medicare Enrollment ID | O20040130000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760690101 | NPI | - | NPPES |
| 004211215 | Medicaid | CT | |
| 8413924000 | Medicaid | CT | |
| 004156437 | Medicaid | CT | |
| 008025819 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (Connecticut) | Secondary |
| Provider Name | Rachel E Must-ettinger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376553396 PECOS PAC ID: 6800700485 Enrollment ID: I20031118000302 |
| Provider Name | Winston B Magno |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730199779 PECOS PAC ID: 8224942800 Enrollment ID: I20031118000324 |
| Provider Name | Nhu T Ngo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972605350 PECOS PAC ID: 6204816416 Enrollment ID: I20040720001047 |
| Provider Name | Matthew J Curran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730174103 PECOS PAC ID: 4880646652 Enrollment ID: I20050221000388 |
| Provider Name | Aileen T Ong Bacay |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598724494 PECOS PAC ID: 3971550484 Enrollment ID: I20050406001124 |
| Provider Name | Jessica Dodge |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134176522 PECOS PAC ID: 4880598630 Enrollment ID: I20071217000718 |
| Provider Name | Anna S Jovanovic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295714764 PECOS PAC ID: 0042391153 Enrollment ID: I20080115000467 |
| Provider Name | Frank A Bauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851416739 PECOS PAC ID: 3779614086 Enrollment ID: I20100701000016 |
| Provider Name | Thalia L Mesologites |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770561748 PECOS PAC ID: 9931230257 Enrollment ID: I20100701000139 |
| Provider Name | John V Scholes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659349371 PECOS PAC ID: 4284640905 Enrollment ID: I20100701000254 |
| Provider Name | Susan Victoria Fernandez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467526772 PECOS PAC ID: 8628024361 Enrollment ID: I20110418000387 |
| Provider Name | Gengsheng Yu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215189022 PECOS PAC ID: 5193878312 Enrollment ID: I20130826000750 |
| Provider Name | Soma Karak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134383334 PECOS PAC ID: 1759524465 Enrollment ID: I20130828000576 |
| Provider Name | Jihong Tang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396735569 PECOS PAC ID: 3476647462 Enrollment ID: I20140602002569 |
| Provider Name | Maria Antonia Gorgan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477716355 PECOS PAC ID: 8921225137 Enrollment ID: I20190205002649 |
| Provider Name | Allison M. Wasserman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962728717 PECOS PAC ID: 0749584142 Enrollment ID: I20190524001202 |
| Provider Name | Jeffrey Sussman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629008115 PECOS PAC ID: 0042284770 Enrollment ID: I20200514000293 |
| Provider Name | Sandy Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477829067 PECOS PAC ID: 2668727298 Enrollment ID: I20210803001945 |
| Provider Name | Dianne Grunes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912221946 PECOS PAC ID: 4981905247 Enrollment ID: I20210928000526 |
| Provider Name | Amy Lynn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467411900 PECOS PAC ID: 4880591759 Enrollment ID: I20210928003139 |
| Provider Name | Purabi Subhash Dhakras |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598962110 PECOS PAC ID: 8527223130 Enrollment ID: I20210929000185 |
| Provider Name | John Hunt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093816993 PECOS PAC ID: 4284792839 Enrollment ID: I20230412001831 |
| Provider Name | Jeremy Spencer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457674855 PECOS PAC ID: 2961526850 Enrollment ID: I20240515002337 |
| Provider Name | Renee Eng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780240986 PECOS PAC ID: 8426594854 Enrollment ID: I20240722004017 |
Charter Oak Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Main St, Hartford, CT 06106 Phone: 860-550-7500 | |
Trinity Health Of New England Provider Network Organization Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Saint Francis Medical Group Inc., Hartford, CT 06105 Phone: 860-714-1325 Fax: 860-714-8078 | |
S Buccheri Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Franklin Ave, Hartford, CT 06114 Phone: 860-707-2798 Fax: 872-241-0517 | |
Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-249-9625 Fax: 860-808-1540 | |
Cleanslate Medical Group Of Connecticut Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Gillett St, Hartford, CT 06105 Phone: 615-425-0220 Fax: 413-727-3619 | |
Robert E. Koorse Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 4303, Hartford, CT 06105 Phone: 860-524-5083 Fax: 860-524-5085 | |
Charter Oak Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 574 Park St, Hartford, CT 06106 Phone: 860-550-7500 |