Maria L Moro-de-casillas, MD | |
100 Perkins Farm Drive, Suite 103, Mystic, CT 06355 | |
(860) 870-6385 | |
(860) 245-0000 |
Full Name | Maria L Moro-de-casillas |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 29 Years |
Location | 100 Perkins Farm Drive, Mystic, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255358230 | NPI | - | NPPES |
001443910 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 44391 (Connecticut) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | MD11991 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
William W Backus Hospital | Norwich, CT | Hospital |
Windham Community Memorial Hospital | Willimantic, CT | Hospital |
Hartford Hospital | Hartford, CT | Hospital |
Westerly Hospital | Westerly, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartford Hospital | 2567366016 | 841 |
Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1180 |
Entity Name | Hartford Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
Entity Name | Hartford Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
Entity Name | The William W Backus Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
Entity Name | Hartford Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
Mailing Address | Practice Location Address |
---|---|
Maria L Moro-de-casillas, MD 100 Perkins Farm Drive, Suite 103, Mystic, CT 06355 Ph: (860) 886-1433 | Maria L Moro-de-casillas, MD 100 Perkins Farm Drive, Suite 103, Mystic, CT 06355 Ph: (860) 870-6385 |
Dr. Renee S Kohanski, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11 Main St, Mystic, CT 06355 Phone: 860-334-4576 Fax: 855-800-6850 | |
Katherine Podraza, MD PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Perkins Farm Dr Ste 303, Mystic, CT 06355 Phone: 860-696-2925 | |
James D. Duffy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Perkins Farm Drive, Suite 102, Mystic, CT 06355 Phone: 860-870-6385 Fax: 860-245-0000 | |
David Tinklepaugh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Perkins Farm Dr, Mystic, CT 06355 Phone: 860-886-1433 |