Middlesex Hospital Urgent Care - Medicare Primary Care in Old Saybrook, CT

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Middlesex Hospital Urgent Care is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Old Saybrook, Connecticut. The current practice location for Middlesex Hospital Urgent Care is 154 Main St, Old Saybrook, Connecticut. For appointments, you can reach them via phone at (860) 661-5976. The mailing address for Middlesex Hospital Urgent Care is 28 Crescent St, Middlesex Hospital Urgent Care, Middletown, Connecticut and phone number is (860) 358-4870.

Middlesex Hospital Urgent Care is licensed to practice in Connecticut (license number ). The clinic also participates in the medicare program and its NPI number is 1093138935. 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) 661-5976.

Contact Information

Middlesex Hospital Urgent Care
154 Main St
Old Saybrook
CT 06475-2373
(860) 661-5976
(860) 358-8664

Map and Direction


Primary Care Clinic Profile

Full NameMiddlesex Hospital Urgent Care
SpecialityClinic/Center
Location154 Main St, Old Saybrook, Connecticut
Authorized Official Name and PositionSusan Martin (VP FINANCE)
Authorized Official Contact8603583005
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Middlesex Hospital Urgent Care
28 Crescent St
Middlesex Hospital Urgent Care
Middletown
CT 06457-3654

Ph: (860) 358-4870		Middlesex Hospital Urgent Care
154 Main St
Old Saybrook
CT 06475-2373

Ph: (860) 661-5976

NPI Details:

NPI Number1093138935
Provider Enumeration Date01/29/2014
Last Update Date04/07/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4082507371
Medicare Enrollment IDO20140814001234

Medical Identifiers

Medical identifiers for Middlesex Hospital Urgent Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093138935NPI-NPPES
008061130MedicaidCT
008061268MedicaidCT
008050108MedicaidCT
008050909MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Connecticut)Secondary
207R00000XInternal Medicine (Connecticut)Secondary
261QU0200XClinic/center - Urgent Care (Connecticut)Primary
363A00000XPhysician Assistant (Connecticut)Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (Connecticut)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Middlesex Hospital Urgent Care acts as a billing entity for following providers:
Provider NameJudith Deshpande
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528008489
PECOS PAC ID: 4981647245
Enrollment ID: I20050607001116
Provider NameDeidre Pagan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740390103
PECOS PAC ID: 8325048911
Enrollment ID: I20070104000404
Provider NameRosemarie G Cole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396930491
PECOS PAC ID: 4082795950
Enrollment ID: I20080116000732
Provider NameDomenic W Casablanca
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548227267
PECOS PAC ID: 9739153826
Enrollment ID: I20090916000371
Provider NameKeith Sinusas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063482909
PECOS PAC ID: 8527108737
Enrollment ID: I20091221000092
Provider NameKathryn M Mcdonnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649357807
PECOS PAC ID: 8527191725
Enrollment ID: I20100809000012
Provider NameHenry Puciato
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801183827
PECOS PAC ID: 0446418883
Enrollment ID: I20120215000110
Provider NameLisa Marie Bergeron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366715179
PECOS PAC ID: 0143480350
Enrollment ID: I20120327000056
Provider NameIsrael Cordero
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124281613
PECOS PAC ID: 3577719830
Enrollment ID: I20120802000297
Provider NameNathan W Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174868095
PECOS PAC ID: 0345494373
Enrollment ID: I20130129000201
Provider NameNazmiye Esra Hatiboglu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225266547
PECOS PAC ID: 7911144761
Enrollment ID: I20130926000574
Provider NameNicole M Kirley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447672233
PECOS PAC ID: 7719118546
Enrollment ID: I20140320001027
Provider NameZoe G Mcglamery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013304526
PECOS PAC ID: 6507177946
Enrollment ID: I20150625001874
Provider NameDanielle M Grillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013391101
PECOS PAC ID: 3779893581
Enrollment ID: I20151106001538
Provider NameRobyn C Reilly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316323397
PECOS PAC ID: 5294035416
Enrollment ID: I20151119001901
Provider NameJennifer A Freeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083087142
PECOS PAC ID: 5991007635
Enrollment ID: I20160112001643
Provider NameStacey Durr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073067930
PECOS PAC ID: 5193012292
Enrollment ID: I20160916001418
Provider NameAmy R Scheel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437687282
PECOS PAC ID: 0749551125
Enrollment ID: I20170803000295
Provider NameMeredith Lindner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942616826
PECOS PAC ID: 4183995319
Enrollment ID: I20170807003197
Provider NamePatrick T Kehl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265872956
PECOS PAC ID: 7214170018
Enrollment ID: I20170816000286
Provider NameStephanie P Schmidt
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1366854499
PECOS PAC ID: 4981909884
Enrollment ID: I20181106001809
Provider NameStephen Daniel Socha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013486034
PECOS PAC ID: 0244125573
Enrollment ID: I20190307002955
Provider NameJason Mark Ziegler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326497876
PECOS PAC ID: 0648566588
Enrollment ID: I20191111000094
Provider NamePeder Johnsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639791577
PECOS PAC ID: 2961823976
Enrollment ID: I20200529002020
Provider NameKristi Poehlmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194325704
PECOS PAC ID: 9133530843
Enrollment ID: I20201202001245
Provider NameAllegra Ponshock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073001996
PECOS PAC ID: 4587911821
Enrollment ID: I20210922003672
Provider NameHannah Radecki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154819829
PECOS PAC ID: 8527318757
Enrollment ID: I20211109002309
Provider NamePaul Niedbala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194474122
PECOS PAC ID: 5597152017
Enrollment ID: I20220429001845
Provider NameMara Shaw Whitmore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851004782
PECOS PAC ID: 0840664603
Enrollment ID: I20230316002651

Reviews and Comments


Clinic/Center in Old Saybrook, CT

Mhs Primary Care
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Medicare: Not Enrolled in Medicare
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Phone: 860-395-1212    Fax: 860-358-8654
Advancedcare Options Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 20 Research Pkwy, Suite C, Old Saybrook, CT 06475
Phone: 800-370-3651    Fax: 860-510-0020
Advancedcare Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475
Phone: 860-510-0888    Fax: 860-510-0020
Middlesex Hospital Dba Middlesex Hospital Physician Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 154 Main St, Old Saybrook, CT 06475
Phone: 860-358-6394    Fax: 860-358-6094
Family Practice Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1250 Boston Post Rd, Old Saybrook, CT 06475
Phone: 860-388-9250    Fax: 860-388-9687
Middlesex Hospital Urgent Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 154 Main St, Old Saybrook, CT 06475
Phone: 860-661-5976    Fax: 860-358-8664

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.