East Granby Family Practice Llc - Medicare Primary Care in East Granby, CT

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East Granby Family Practice Llc is a medicare enrolled primary clinic (Family Medicine) in East Granby, Connecticut. The current practice location for East Granby Family Practice Llc is 13 Church Rd, East Granby, Connecticut. For appointments, you can reach them via phone at (860) 653-4526. The mailing address for East Granby Family Practice Llc is 13 Church Rd, Po Box 518, East Granby, Connecticut and phone number is (860) 653-4526.

East Granby Family Practice Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154308229. 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 (860) 653-4526.

Contact Information

East Granby Family Practice Llc
13 Church Rd
East Granby
CT 06026-0518
(860) 653-4526
(860) 653-5209

Map and Direction


Primary Care Clinic Profile

Full NameEast Granby Family Practice Llc
SpecialityFamily Medicine
Location13 Church Rd, East Granby, Connecticut
Authorized Official Name and PositionSteven R Dietrich (PARTNER MD)
Authorized Official Contact8606534526
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
East Granby Family Practice Llc
13 Church Rd
Po Box 518
East Granby
CT 06026-0518

Ph: (860) 653-4526		East Granby Family Practice Llc
13 Church Rd
East Granby
CT 06026-0518

Ph: (860) 653-4526

NPI Details:

NPI Number1154308229
Provider Enumeration Date12/29/2005
Last Update Date06/26/2013

Medicare PECOS Information:

Medicare PECOS PAC ID6709873144
Medicare Enrollment IDO20040428000607

Medical Identifiers

Medical identifiers for East Granby Family Practice Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154308229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. East Granby Family Practice Llc acts as a billing entity for following providers:
Provider NameMary Ann Webster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093792160
PECOS PAC ID: 2163315755
Enrollment ID: I20040206000304
Provider NameJeannie Crabtree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528045697
PECOS PAC ID: 8123073970
Enrollment ID: I20050502000630
Provider NameNeena K Pursnani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306871355
PECOS PAC ID: 5193741734
Enrollment ID: I20051021000757
Provider NameElizabeth Freedman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154308211
PECOS PAC ID: 9335332030
Enrollment ID: I20101026000150
Provider NameEdward Ewald
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497732564
PECOS PAC ID: 1153515119
Enrollment ID: I20110124000180
Provider NameDavid Howlett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760469829
PECOS PAC ID: 2062606023
Enrollment ID: I20110124000213
Provider NameKhuram R Ghumman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447384326
PECOS PAC ID: 4587705355
Enrollment ID: I20130809000244
Provider NameDaniel Lerner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700222817
PECOS PAC ID: 1052607660
Enrollment ID: I20160908000886
Provider NameTejal Kothari Shaikh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508312893
PECOS PAC ID: 5092126870
Enrollment ID: I20201130002129
Provider NameKerri Helen Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992267660
PECOS PAC ID: 0042628596
Enrollment ID: I20210421001981
Provider NameAnna Rodis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700534401
PECOS PAC ID: 6406225010
Enrollment ID: I20221202002093
Provider NameEllen Ann Maurus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316673452
PECOS PAC ID: 5597136671
Enrollment ID: I20230127001958
Provider NameKimberly Diane Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639791379
PECOS PAC ID: 0042656142
Enrollment ID: I20240312001142

Reviews and Comments


Family Medicine in East Granby, CT


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.