| Partners In Primary Care, Llc | |
|
1358 Boston Post Rd Unit 1 Old Saybrook CT 06475-1749 | |
| (860) 510-0792 | |
| (860) 510-0793 |
| Full Name | Partners In Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1358 Boston Post Rd, Old Saybrook, Connecticut |
| Authorized Official Name and Position | David Jonathan Frederiks (MEMBER) |
| Authorized Official Contact | 8605100792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners In Primary Care, Llc 1358 Boston Post Rd Unit 1 Old Saybrook CT 06475-1749 Ph: (860) 510-0792 | Partners In Primary Care, Llc 1358 Boston Post Rd Unit 1 Old Saybrook CT 06475-1749 Ph: (860) 510-0792 |
| NPI Number | 1952586000 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 01/09/2008 |
| Medicare PECOS PAC ID | 5698834315 |
|---|---|
| Medicare Enrollment ID | O20081110000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952586000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036811 (Connecticut) | Primary |
| 207R00000X | Internal Medicine | 042678 (Connecticut) | Secondary |
| Provider Name | David J Frederiks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225048168 PECOS PAC ID: 6204823172 Enrollment ID: I20040430000779 |
| Provider Name | Carmine R Crispino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861467367 PECOS PAC ID: 7911996426 Enrollment ID: I20040510001271 |
| Provider Name | Kathryn M Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518390186 PECOS PAC ID: 8628204088 Enrollment ID: I20131114000159 |
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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 | |
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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 |