Md Care Psychiatric Services Llc | |
45 S Main St Ste 211 West Hartford CT 06107-2402 | |
(860) 478-4341 | |
(860) 243-3930 |
Full Name | Md Care Psychiatric Services Llc |
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Speciality | Psychiatry & Neurology |
Location | 45 S Main St Ste 211, West Hartford, Connecticut |
Authorized Official Name and Position | Ayesha Ahmed (MANAGER) |
Authorized Official Contact | 8606551488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Md Care Psychiatric Services Llc 41 Crossroads Plz # 148 West Hartford CT 06117-2402 Ph: (860) 478-4341 | Md Care Psychiatric Services Llc 45 S Main St Ste 211 West Hartford CT 06107-2402 Ph: (860) 478-4341 |
NPI Number | 1104192921 |
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Provider Enumeration Date | 03/26/2012 |
Last Update Date | 07/11/2022 |
Certification Date | 07/11/2022 |
Medicare PECOS PAC ID | 2365603545 |
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Medicare Enrollment ID | O20120416000245 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104192921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 048477 (Connecticut) | Primary |
Provider Name | Ayesha Ahmed |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487684742 PECOS PAC ID: 7113056912 Enrollment ID: I20100924000671 |
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Ruth L. Jacobson, Ms, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St Ste 315, West Hartford, CT 06107 Phone: 860-604-3101 Fax: 860-658-6002 | |
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