Dana Cavicke, MD | |
12 Lathrop Road, Plainfield, CT 06374 | |
(860) 564-6293 | |
(860) 564-4879 |
Full Name | Dana Cavicke |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 12 Lathrop Road, Plainfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639180607 | NPI | - | NPPES |
010041058CT01 | Other | CT | ANTHEM BLUE SHIELF |
P3099896 | Other | CT | OXFORD |
001410589 | Medicaid | CT | |
2V3866 | Other | CT | HEALTHNET |
041058 | Other | CT | CONNECTICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 041058 (Connecticut) | Primary |
Entity Name | United Community And Family Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467482539 PECOS PAC ID: 9032012497 Enrollment ID: O20040202000086 |
Mailing Address | Practice Location Address |
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Dana Cavicke, MD 12 Lathrop Road, Plainfield, CT 06374 Ph: (860) 564-6293 | Dana Cavicke, MD 12 Lathrop Road, Plainfield, CT 06374 Ph: (860) 564-6293 |
Claire Marie Warren, MEDICAL DOCTOR Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 558 Norwich Road, Plainfield, CT 06374 Phone: 860-564-4054 Fax: 860-564-0354 | |
Paul L Dalbec, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 558 Norwich Rd, Plainfield, CT 06374 Phone: 860-564-4054 Fax: 860-564-0354 |