Progressive Care Medical Group Of Ct, Pllc | |
917 Mill Hill Ter Southport CT 06890-3200 | |
(203) 204-3012 | |
Not Available |
Full Name | Progressive Care Medical Group Of Ct, Pllc |
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Speciality | Nurse Practitioner |
Location | 917 Mill Hill Ter, Southport, Connecticut |
Authorized Official Name and Position | Deepak Patel (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 5168555255 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Progressive Care Medical Group Of Ct, Pllc 150 Eileen Way Unit 1 Syosset NY 11791-5313 Ph: (516) 855-5255 | Progressive Care Medical Group Of Ct, Pllc 917 Mill Hill Ter Southport CT 06890-3200 Ph: (203) 204-3012 |
NPI Number | 1679107940 |
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Provider Enumeration Date | 02/26/2020 |
Last Update Date | 07/20/2022 |
Medicare PECOS PAC ID | 5193113082 |
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Medicare Enrollment ID | O20211026001909 |
Identifier | Type | State | Issuer |
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1679107940 | NPI | - | NPPES |
Provider Name | Muhammad E Qadir |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356340319 PECOS PAC ID: 1153499462 Enrollment ID: I20081013000628 |
Provider Name | Rhonda Whatley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346598679 PECOS PAC ID: 9133552052 Enrollment ID: I20240717002543 |
Integrated Wound Care Connecticut Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 930 Mill Hill Ter, Southport, CT 06890 Phone: 718-705-6010 |