| Bear Pond Family Medicine & Pediatrics | |
|
55 Hazard Ave Enfield CT 06082-3826 | |
| (860) 744-2244 | |
| (860) 744-2220 |
| Full Name | Bear Pond Family Medicine & Pediatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 55 Hazard Ave, Enfield, Connecticut |
| Authorized Official Name and Position | James Uberti (OWNER) |
| Authorized Official Contact | 2032173005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Pond Family Medicine & Pediatrics Po Box 159 Windsor CT 06095-0159 Ph: (860) 744-2244 | Bear Pond Family Medicine & Pediatrics 55 Hazard Ave Enfield CT 06082-3826 Ph: (860) 744-2244 |
| NPI Number | 1275176620 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 10/28/2024 |
| Medicare PECOS PAC ID | 0345672226 |
|---|---|
| Medicare Enrollment ID | O20191114001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275176620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Francine D York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114397684 PECOS PAC ID: 6800194861 Enrollment ID: I20160408000049 |
| Provider Name | Andrea Lynn Delaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669082830 PECOS PAC ID: 6901206226 Enrollment ID: I20210608002444 |
| Provider Name | Kelsie Eileen Trillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780348151 PECOS PAC ID: 4789075292 Enrollment ID: I20211216002404 |
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