Cleanslate Medical Group Of Connecticut Llc - Medicare Primary Care in Hartford, CT

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Cleanslate Medical Group Of Connecticut Llc is a medicare enrolled primary clinic (Internal Medicine - Addiction Medicine) in Hartford, Connecticut. The current practice location for Cleanslate Medical Group Of Connecticut Llc is 85 Gillett St, Hartford, Connecticut. For appointments, you can reach them via phone at (615) 425-0220. The mailing address for Cleanslate Medical Group Of Connecticut Llc is 8 Cadillac Dr Ste 180, Brentwood, Tennessee and phone number is (615) 425-0220.

Cleanslate Medical Group Of Connecticut Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073057071. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (615) 425-0220.

Contact Information

Cleanslate Medical Group Of Connecticut Llc
85 Gillett St
Hartford
CT 06105-2630
(615) 425-0220
(413) 727-3619

Map and Direction


Primary Care Clinic Profile

Full NameCleanslate Medical Group Of Connecticut Llc
SpecialityInternal Medicine
Location85 Gillett St, Hartford, Connecticut
Authorized Official Name and PositionRobert Hutchison (CFO)
Authorized Official Contact6154250220
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cleanslate Medical Group Of Connecticut Llc
8 Cadillac Dr Ste 180
Brentwood
TN 37027-5393

Ph: (615) 425-0220		Cleanslate Medical Group Of Connecticut Llc
85 Gillett St
Hartford
CT 06105-2630

Ph: (615) 425-0220

NPI Details:

NPI Number1073057071
Provider Enumeration Date12/09/2016
Last Update Date03/23/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2961779210
Medicare Enrollment IDO20170517001700

Medical Identifiers

Medical identifiers for Cleanslate Medical Group Of Connecticut Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073057071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RA0401XInternal Medicine - Addiction Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cleanslate Medical Group Of Connecticut Llc acts as a billing entity for following providers:
Provider NameAshok K Maheshwari
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1760543813
PECOS PAC ID: 1254439516
Enrollment ID: I20070611000082
Provider NameSusan Scales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457517823
PECOS PAC ID: 7517028962
Enrollment ID: I20081204000456
Provider NameMichael J Alper
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558449868
PECOS PAC ID: 3678741428
Enrollment ID: I20110721000298
Provider NameElizabeth L Case
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356355069
PECOS PAC ID: 3173549185
Enrollment ID: I20110804000082
Provider NameKevin P Feig
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376566455
PECOS PAC ID: 6709882798
Enrollment ID: I20151109001747
Provider NameAndrew Bruce Mendenhall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053347591
PECOS PAC ID: 3678469574
Enrollment ID: I20170517001853
Provider NameKatie Strahowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841735818
PECOS PAC ID: 3173891595
Enrollment ID: I20170607002357
Provider NameAmy Chai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710399548
PECOS PAC ID: 2466720339
Enrollment ID: I20170616002150
Provider NameFlora F Sadri-azarbayejani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023088820
PECOS PAC ID: 5597739144
Enrollment ID: I20180906002755
Provider NameSatkiran Grewal
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356421085
PECOS PAC ID: 3678592060
Enrollment ID: I20200212002427

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.