Shifa Clinic in Vernon, CT - Medicare Clinic/Center

Shifa Clinic is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Vernon, Connecticut. The current practice location for Shifa Clinic is 145 Union Street, Vernon, Connecticut. For appointments, you can reach them via phone at (860) 375-8440. The mailing address for Shifa Clinic is 145 Union Street, Vernon, Connecticut and phone number is (860) 375-8440.

Shifa Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215398920. 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) 375-8440.

Contact Information

	Shifa Clinic
	145 Union Street Vernon CT 06066-3025
	(860) 375-8440
	(860) 858-4091

Map and Direction

Primary Care Clinic Profile

Full Name	Shifa Clinic
Speciality	Clinic/Center
Location	145 Union Street, Vernon, Connecticut
Authorized Official Name and Position	Mohamed Altaf Hussain (CEO/ADVANCE PRACTICE REGISTERED NUR)
Authorized Official Contact	8603247988
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shifa Clinic 145 Union Street Vernon CT 06066-3025 Ph: (860) 375-8440	Shifa Clinic 145 Union Street Vernon CT 06066-3025 Ph: (860) 375-8440

NPI Details:

NPI Number	1215398920
Provider Enumeration Date	03/09/2016
Last Update Date	02/05/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	7517255722
Medicare Enrollment ID	O20161004000507

Medical Identifiers

Medical identifiers for Shifa Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215398920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary
363LF0000X	Nurse Practitioner - Family	005393 (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. Shifa Clinic acts as a billing entity for following providers:

Provider Name	Mohamed A Hussain
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1679914071 PECOS PAC ID: 9830332667 Enrollment ID: I20130827000471

Provider Name	Lutfullah Baskoy
Provider Type	Practitioner - General Practice
Provider Identifiers	NPI Number: 1386105005 PECOS PAC ID: 9830421494 Enrollment ID: I20210907001154

Reviews and Comments

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Shifa Clinic - Medicare Primary Care in Vernon, CT