Mrs Hanna Kackielo, MD | |
1 Towne Park Plz, Norwich, CT 06360-2247 | |
(860) 887-0010 | |
(860) 887-0178 |
Full Name | Mrs Hanna Kackielo |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 1 Towne Park Plz, Norwich, 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 |
---|---|---|---|
1598714701 | NPI | - | NPPES |
001374610 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 037461 (Connecticut) | Secondary |
207R00000X | Internal Medicine | 037461 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
William W Backus Hospital | Norwich, CT | Hospital |
Lawrence & Memorial Hospital | New london, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Internal Medicine Group Llc | 6204810401 | 4 |
Entity Name | Internal Medicine Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770617367 PECOS PAC ID: 6204810401 Enrollment ID: O20040615001607 |
Mailing Address | Practice Location Address |
---|---|
Mrs Hanna Kackielo, MD 1 Towne Park Plz, Norwich, CT 06360-2247 Ph: () - | Mrs Hanna Kackielo, MD 1 Towne Park Plz, Norwich, CT 06360-2247 Ph: (860) 887-0010 |
Michael Philip Sun, Internal Medicine Medicare: Medicare Enrolled Practice Location: 111 Salem Tpke, Norwich, CT 06360 Phone: 860-886-0023 Fax: 860-886-0024 | |
Dr. Ting Li, M.D., PH.D., F.A.C.C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Lafayette St, Norwich, CT 06360 Phone: 860-572-5400 Fax: 860-245-0001 | |
Ankit Gupta, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Washington St Ste 430, Norwich, CT 06360 Phone: 860-886-1862 Fax: 860-886-2046 | |
Dr. Mohammed A Qureshi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Kandhasamy Jagathambal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Washington St, Ste 220 Eastern Ct Hematology & Oncology, Norwich, CT 06360 Phone: 860-886-8362 Fax: 860-886-9262 | |
Dr. Paras Satish Bhatt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Ontrobando Ave, Norwich, CT 06360 Phone: 860-889-9180 | |
Maria Sabsay Goral, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, The William W.backus Hospital, Norwich, CT 06360 Phone: 860-885-6420 Fax: 860-892-6984 |