Mr Mark E Decora, PA C is a
Physician Assistant - Medical based in Uncasvill, Connecticut. Mr Mark E Decora is licensed to practice in Connecticut (license number 000449) and his current practice location is
88 New London Tpke, Uncasvill, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 848-1297.
NPI number for Mr Mark E Decora is 1376645382 and his current mailing address is 112 Lafayette St, Norwich, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376645382.
Provider's Profile
| Full Name | Mr Mark E Decora |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 88 New London Tpke, Uncasvill, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376645382
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 09/23/2015
Medical Identifiers
Medical identifiers for Mr Mark E Decora such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376645382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 000449 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark E Decora is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Mark E Decora, PA C
112 Lafayette St,
Norwich, CT 06360-2737
Ph: (860) 425-8701 | Mr Mark E Decora, PA C
88 New London Tpke,
Uncasvill, CT 06382-0000
Ph: (860) 848-1297 |
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