St. Vincents Urgent Care Llc - Medicare Primary Care in Fairfield, CT

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St. Vincents Urgent Care Llc is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Fairfield, Connecticut. The current practice location for St. Vincents Urgent Care Llc is 1055 Post Rd, Fairfield, Connecticut. For appointments, you can reach them via phone at (203) 259-3440. The mailing address for St. Vincents Urgent Care Llc is 2720 Main St Ste 1, Bridgeport, Connecticut and phone number is () -.

St. Vincents Urgent Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912305483. 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 (203) 259-3440.

Contact Information

St. Vincents Urgent Care Llc
1055 Post Rd
Fairfield
CT 06824-6019
(203) 259-3440
(203) 254-3889

Map and Direction


Primary Care Clinic Profile

Full NameSt. Vincents Urgent Care Llc
SpecialityClinic/Center
Location1055 Post Rd, Fairfield, Connecticut
Authorized Official Name and PositionChristopher Willey (EXECUTIVE DIRECTOR)
Authorized Official Contact2035765076
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
St. Vincents Urgent Care Llc
2720 Main St Ste 1
Bridgeport
CT 06606-5363

Ph: () -		St. Vincents Urgent Care Llc
1055 Post Rd
Fairfield
CT 06824-6019

Ph: (203) 259-3440

NPI Details:

NPI Number1912305483
Provider Enumeration Date12/15/2014
Last Update Date03/01/2019

Medicare PECOS Information:

Medicare PECOS PAC ID6901119767
Medicare Enrollment IDO20150722005148

Medical Identifiers

Medical identifiers for St. Vincents Urgent Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912305483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. St. Vincents Urgent Care Llc acts as a billing entity for following providers:
Provider NameValerie A Ianson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992779862
PECOS PAC ID: 2264331420
Enrollment ID: I20040107000243
Provider NameAniruddha M Deshpande
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1902943798
PECOS PAC ID: 4082603113
Enrollment ID: I20040512000368
Provider NameFrancis R Scifo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003901794
PECOS PAC ID: 9739161746
Enrollment ID: I20040603000704
Provider NameRobert F Fitton
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1346339926
PECOS PAC ID: 0042268823
Enrollment ID: I20050111000078
Provider NameJessie M Williams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558361402
PECOS PAC ID: 8729002324
Enrollment ID: I20060123000511
Provider NameBarry C Melton
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255380267
PECOS PAC ID: 8123129087
Enrollment ID: I20070721000016
Provider NameMark L Friedman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568559276
PECOS PAC ID: 1850359670
Enrollment ID: I20071114000052
Provider NameMai Kong Xiong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174711741
PECOS PAC ID: 4183705981
Enrollment ID: I20080118000054
Provider NameWilliam B Sacks
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871537548
PECOS PAC ID: 8224934005
Enrollment ID: I20080228000258
Provider NameDeanne Walsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053513903
PECOS PAC ID: 9537245048
Enrollment ID: I20080325000161
Provider NameNicole C Colline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083808273
PECOS PAC ID: 5294805255
Enrollment ID: I20080603000057
Provider NameKenan F Tarabar
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1730358052
PECOS PAC ID: 8224103601
Enrollment ID: I20080819000966
Provider NameAndrew B Killen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528231552
PECOS PAC ID: 1658439070
Enrollment ID: I20081029000024
Provider NameMonika Kaul
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154569200
PECOS PAC ID: 6901958214
Enrollment ID: I20090717000280
Provider NameStuart C Belkin
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1235169863
PECOS PAC ID: 6800937905
Enrollment ID: I20100112000439
Provider NameScott Herman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396770145
PECOS PAC ID: 9739220781
Enrollment ID: I20100113000027
Provider NameAlma R Garcia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346281136
PECOS PAC ID: 3173664059
Enrollment ID: I20100114000419
Provider NameSyed Z Hussain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144258377
PECOS PAC ID: 8527103068
Enrollment ID: I20100308000785
Provider NameAndre L Newfield
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1316196686
PECOS PAC ID: 2264568286
Enrollment ID: I20100330000285
Provider NameCorey A Jaquez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205073962
PECOS PAC ID: 8628105210
Enrollment ID: I20100430000472
Provider NameCama Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740207364
PECOS PAC ID: 4183512114
Enrollment ID: I20100503000432
Provider NameCharles N Bruce-tagoe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417122946
PECOS PAC ID: 5597899757
Enrollment ID: I20100810000971
Provider NameJohn P Iannarone
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1013943190
PECOS PAC ID: 1557486354
Enrollment ID: I20100916001204
Provider NameLea Benvenuti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730480773
PECOS PAC ID: 5799966750
Enrollment ID: I20110223000917
Provider NameEmoliere C Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700041118
PECOS PAC ID: 1052594322
Enrollment ID: I20110323000853
Provider NameIran A. Gomez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811131105
PECOS PAC ID: 8820267776
Enrollment ID: I20110810000011
Provider NameDiana Eva Morocz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184673188
PECOS PAC ID: 9032382429
Enrollment ID: I20111031000569
Provider NameMonica Ahern Lockwood
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487834917
PECOS PAC ID: 4082849732
Enrollment ID: I20131105000562
Provider NameShari G Weisenfeld
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306831714
PECOS PAC ID: 5597711390
Enrollment ID: I20140424001239
Provider NameDavid Altamirano
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1104139963
PECOS PAC ID: 9032342753
Enrollment ID: I20140505001449
Provider NameDaynna Moriello
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508152208
PECOS PAC ID: 0244553006
Enrollment ID: I20141231000366
Provider NameMaged Barakat
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801918230
PECOS PAC ID: 1759480940
Enrollment ID: I20150129000984
Provider NameSuzanna M Smaldone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053706499
PECOS PAC ID: 0749501369
Enrollment ID: I20150609000186
Provider NameTuhina Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619239449
PECOS PAC ID: 5294043279
Enrollment ID: I20150925000412
Provider NameAnthony Guglielmo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700279452
PECOS PAC ID: 6507175346
Enrollment ID: I20151019001697
Provider NameMagna Josefina Pastrano Lluberes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548601594
PECOS PAC ID: 2062706542
Enrollment ID: I20160805000939
Provider NameGeralynn S Renner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750450326
PECOS PAC ID: 3779612569
Enrollment ID: I20160914001583
Provider NameClaudette M Thyme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457731812
PECOS PAC ID: 5092096537
Enrollment ID: I20161221001643
Provider NameSachin B Modi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699189670
PECOS PAC ID: 1355667544
Enrollment ID: I20171220000646
Provider NameSarah Knauf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588150643
PECOS PAC ID: 9436400322
Enrollment ID: I20180914001265
Provider NameMichael Demasi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750866778
PECOS PAC ID: 0941553507
Enrollment ID: I20181029001102
Provider NameArthur Yazhemskiy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902251937
PECOS PAC ID: 8921352543
Enrollment ID: I20190812002405
Provider NameLisa Kise
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922257278
PECOS PAC ID: 7315007226
Enrollment ID: I20210303001245
Provider NameJudith Nelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720068356
PECOS PAC ID: 5799814687
Enrollment ID: I20210828000148
Provider NameJay Joseph Berkes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497311583
PECOS PAC ID: 9133452600
Enrollment ID: I20220811002856
Provider NameJibril Ahmad Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780211383
PECOS PAC ID: 8426416702
Enrollment ID: I20230619000462
Provider NameNora Wyn O'sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265210132
PECOS PAC ID: 8628425550
Enrollment ID: I20231114001396
Provider NameAundre Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265918734
PECOS PAC ID: 4284984063
Enrollment ID: I20231212001801
Provider NameDawn Lane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225668924
PECOS PAC ID: 1951748284
Enrollment ID: I20240322001122

Reviews and Comments


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Medicare: Not Enrolled in Medicare
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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.