Mansfield Family Practice Llc - Medicare Primary Care in Storrs, CT

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Mansfield Family Practice Llc is a medicare enrolled primary clinic (Family Medicine) in Storrs, Connecticut. The current practice location for Mansfield Family Practice Llc is 34 Professional Park Road, Storrs, Connecticut. For appointments, you can reach them via phone at (860) 487-0002. The mailing address for Mansfield Family Practice Llc is 34 Professional Park Road, Storrs, Connecticut and phone number is (860) 487-0002.

Mansfield Family Practice Llc is licensed to practice in Connecticut (license number ). The clinic also participates in the medicare program and its NPI number is 1265546956. 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) 487-0002.

Contact Information

Mansfield Family Practice Llc
34 Professional Park Road
Storrs
CT 06268
(860) 487-0002
(860) 429-1663

Map and Direction


Primary Care Clinic Profile

Full NameMansfield Family Practice Llc
SpecialityFamily Medicine
Location34 Professional Park Road, Storrs, Connecticut
Authorized Official Name and PositionKelly Wyse (MEDICAL RECORDS)
Authorized Official Contact8604870002
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mansfield Family Practice Llc
34 Professional Park Road
Storrs
CT 06268

Ph: (860) 487-0002		Mansfield Family Practice Llc
34 Professional Park Road
Storrs
CT 06268

Ph: (860) 487-0002

NPI Details:

NPI Number1265546956
Provider Enumeration Date08/18/2006
Last Update Date07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2961433594
Medicare Enrollment IDO20050824000185

Medical Identifiers

Medical identifiers for Mansfield Family Practice Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265546956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mansfield Family Practice Llc acts as a billing entity for following providers:
Provider NameSandra M Hughes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649257700
PECOS PAC ID: 6901889666
Enrollment ID: I20040611001329
Provider NameRoss Winakor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720071681
PECOS PAC ID: 9032171004
Enrollment ID: I20041102000195
Provider NameMaura Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871588475
PECOS PAC ID: 9335331206
Enrollment ID: I20101011000487
Provider NameKenneth Dardick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316930266
PECOS PAC ID: 3274664305
Enrollment ID: I20101011000562
Provider NameAyaz T Madraswalla
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902899859
PECOS PAC ID: 5092846121
Enrollment ID: I20101110000003
Provider NameTatyana Divino
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780812099
PECOS PAC ID: 6103064225
Enrollment ID: I20131017000954
Provider NameJean Elaine Walikonis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215415492
PECOS PAC ID: 2466703145
Enrollment ID: I20180919001120
Provider NameJennifer Theresa Pereira
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922718725
PECOS PAC ID: 6103282348
Enrollment ID: I20230515001184

Reviews and Comments


Family Medicine in Storrs, CT

Physician Management Services Of Connecticut, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 34 Professional Park Rd, Storrs, CT 06268
Phone: 888-829-8550    
Translational Medicine Clinic & Research Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1768 Storrs Rd, Suite A, Storrs, CT 06268
Phone: 860-477-0961    

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.