Mrs Cynthia E Clarke, DO, RD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" provider in South Glastonbury, Connecticut. Her current practice location is
31 Backland Rd, South Glastonbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(585) 414-4722.
Mrs Cynthia E Clarke is licensed to practice in Connecticut (license number 64143) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750532214.
Healthcare Provider's Profile
Full Name | Mrs Cynthia E Clarke |
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Gender | Female |
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Speciality | Radiology - Vascular & Interventional Radiology |
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Location | 31 Backland Rd, South Glastonbury, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750532214
- Provider Enumeration Date: 10/02/2008
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355729013
- Enrollment ID: I20231118000526
Medical Identifiers
Medical identifiers for Mrs Cynthia E Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750532214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 64143 (Connecticut) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Cynthia E Clarke allows following entities to bill medicare on her behalf.
Provider Name | Jefferson Radiology Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20031124000161 |
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Provider Name | Connecticut Imaging Partners Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20051011000041 |
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Provider Name | Tic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20161026002352 |
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Provider Name | Farmington Imaging Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20161028000552 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Cynthia E Clarke is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Cynthia E Clarke, DO, RD 31 Backland Rd, South Glastonbury, CT 06073-3127 Ph: (585) 414-4722 | Mrs Cynthia E Clarke, DO, RD 31 Backland Rd, South Glastonbury, CT 06073-3127 Ph: (585) 414-4722 |
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