Lynne E Manning, DO | |
5 N Main St, Enfield, CT 06082-3372 | |
(860) 253-9024 | |
(860) 253-9593 |
Full Name | Lynne E Manning |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 5 N Main St, Enfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164608154 | NPI | - | NPPES |
004236346 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 049487 (Connecticut) | Primary |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245256247 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000535 |
Mailing Address | Practice Location Address |
---|---|
Lynne E Manning, DO 635 Main St, Attn: Credentialing Dpt, Middletown, CT 06457-2718 Ph: (860) 347-6971 | Lynne E Manning, DO 5 N Main St, Enfield, CT 06082-3372 Ph: (860) 253-9024 |
Thandi Walters, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5 N Main St, Enfield, CT 06082 Phone: 860-253-9024 Fax: 860-253-9593 | |
Dr. Timothy Alan Fignar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Palomba Dr, Suite 5, Enfield, CT 06082 Phone: 860-745-1623 Fax: 860-741-3618 | |
Nancy H Lindberg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 113 Elm St, Suite 302, Enfield, CT 06082 Phone: 860-741-3069 Fax: 860-745-3864 | |
Dr. Daryl De'andre' Mc Clendon, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hazard Ave Ste 101, Enfield, CT 06082 Phone: 860-696-2380 | |
Miriam S. Buckberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Enfield Street, Enfield, CT 06082 Phone: 860-741-6058 Fax: 860-253-9326 | |
Dr. Michele Marie Trela Bowdy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9 Cranbrook Blvd Fl 2, Enfield, CT 06082 Phone: 860-749-2251 |