Dr Marie R Mammone, ND is a
General Practice physician based in Wethersfield, Connecticut. Dr Marie R Mammone is licensed to practice in Connecticut (license number 000212) and her current practice location is 274 Silas Deane Hwy, Wethersfield, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 529-1200.
NPI number for Dr Marie R Mammone is 1164446175 and her current mailing address is 274 Silas Deane Hwy, Wethersfield, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164446175.
Physician's Profile
| Full Name | Dr Marie R Mammone |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | 274 Silas Deane Hwy, Wethersfield, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164446175
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 10/07/2010
Medical Identifiers
Medical identifiers for Dr Marie R Mammone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164446175 | NPI | - | NPPES |
| 212000 | Other | CT | CT CARE |
| 110000212CT01 | Other | CT | ANTHEM BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 000212 (Connecticut) | Primary |
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. Dr Marie R Mammone is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marie R Mammone, ND
274 Silas Deane Hwy,
Wethersfield, CT 06109-1732
Ph: (860) 529-1200 | Dr Marie R Mammone, ND
274 Silas Deane Hwy,
Wethersfield, CT 06109-1732
Ph: (860) 529-1200 |
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