| Wheeler Clinic Inc. | |
|
10 N Main St Bristol CT 06010-8122 | |
| (888) 793-3500 | |
| Not Available |
| Full Name | Wheeler Clinic Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 N Main St, Bristol, Connecticut |
| Authorized Official Name and Position | Athena Szczesniak (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8607934235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheeler Clinic Inc. 91 Northwest Dr Plainville CT 06062-1534 Ph: () - | Wheeler Clinic Inc. 10 N Main St Bristol CT 06010-8122 Ph: (888) 793-3500 |
| NPI Number | 1548760119 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 09/11/2020 |
| Medicare PECOS PAC ID | 0345147153 |
|---|---|
| Medicare Enrollment ID | O20151105001962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548760119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Barbara Krill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316494990 PECOS PAC ID: 7315287372 Enrollment ID: I20190329000356 |
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