Mrs Ellen A Markstein, MD | |
8 East Main Street, Suite 101, Clinton, CT 06413-2058 | |
(860) 669-6156 | |
(860) 664-0285 |
Full Name | Mrs Ellen A Markstein |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 8 East Main Street, Clinton, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659390797 | NPI | - | NPPES |
001342477 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | CT034247 (Connecticut) | Primary |
Entity Name | Integrated Dermatology Of Clinton,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457728883 PECOS PAC ID: 7416257381 Enrollment ID: O20151125000408 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ellen A Markstein, MD 8 East Main Street, Suite 101, Clinton, CT 06413-2058 Ph: (860) 669-6156 | Mrs Ellen A Markstein, MD 8 East Main Street, Suite 101, Clinton, CT 06413-2058 Ph: (860) 669-6156 |
Mrs. Carolyn B Carroll, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8 East Main Street, Suite 101, Clinton, CT 06413 Phone: 860-669-6156 Fax: 860-664-0285 | |
Mrs. Sharon Henrietta Barrett, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8 East Main Street, Suite 101, Clinton, CT 06413 Phone: 860-669-6156 Fax: 860-664-0285 |