Domenic William Casablanca, MD | |
4 Corporate Dr, Suite 195, Shelton, CT 06484-6211 | |
(203) 225-0375 | |
Not Available |
Full Name | Domenic William Casablanca |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 4 Corporate Dr, Shelton, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548227267 | NPI | - | NPPES |
001376020 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 037602 (Connecticut) | Primary |
207Q00000X | Family Medicine | 204552 (New York) | Secondary |
207Q00000X | Family Medicine | MA060820 (New Jersey) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Middlesex Hospital | Middletown, CT | Hospital |
Griffin Hospital | Derby, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Middlesex Hospital | 5092611731 | 204 |
Entity Name | Middlesex Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851350664 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000518 |
Entity Name | Mhs Primary Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093138935 PECOS PAC ID: 4082507371 Enrollment ID: O20140814001234 |
Mailing Address | Practice Location Address |
---|---|
Domenic William Casablanca, MD 4 Corporate Dr, Suite 195, Shelton, CT 06484-6211 Ph: (203) 225-0375 | Domenic William Casablanca, MD 4 Corporate Dr, Suite 195, Shelton, CT 06484-6211 Ph: (203) 225-0375 |
Mrs. Brittany Herman, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 887 Bridgeport Ave, Shelton, CT 06484 Phone: 203-225-6020 | |
Dr. Saroja Koneswaran, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 21 Huntington Plaza, Shelton, CT 06484 Phone: 203-929-6358 Fax: 203-929-3826 | |
Dr. Elizabeth Arbia, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Commerce Dr, Shelton, CT 06484 Phone: 203-929-7331 Fax: 203-925-0330 | |
Stephanie J Rowe, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 887 Bridgeport Ave, Shelton, CT 06484 Phone: 203-225-6020 Fax: 203-384-3829 | |
Dr. Kenneth Ward, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Commerce Dr, Shelton, CT 06484 Phone: 203-929-7331 Fax: 203-925-0330 | |
Dr. Fadeke O Longe, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4 Corporate Dr, Shelton, CT 06484 Phone: 203-225-0375 | |
Dr. Bharvi Ashok Balar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 224 Leavenworth Rd, Shelton, CT 06484 Phone: 203-926-1206 Fax: 203-926-0413 |