Cleanslate Medical Group Of Connecticut Llc - Medicare Primary Care in Hartford, CT

Cleanslate Medical Group Of Connecticut Llc is a medicare enrolled primary clinic (Internal Medicine - Addiction Medicine) in Hartford, Connecticut. The current practice location for Cleanslate Medical Group Of Connecticut Llc is 85 Gillett St, Hartford, Connecticut. For appointments, you can reach them via phone at (615) 425-0220. The mailing address for Cleanslate Medical Group Of Connecticut Llc is 8 Cadillac Dr Ste 180, Brentwood, Tennessee and phone number is (615) 425-0220.

Cleanslate Medical Group Of Connecticut Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073057071. 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 (615) 425-0220.

Contact Information

Cleanslate Medical Group Of Connecticut Llc
85 Gillett St
Hartford
CT 06105-2630
(615) 425-0220
(413) 727-3619

Primary Care Clinic Profile

Full NameCleanslate Medical Group Of Connecticut Llc
SpecialityInternal Medicine
Location85 Gillett St, Hartford, Connecticut
Authorized Official Name and PositionRobert Hutchison (CFO)
Authorized Official Contact6154250220
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cleanslate Medical Group Of Connecticut Llc
8 Cadillac Dr Ste 180
Brentwood
TN 37027-5393

Ph: (615) 425-0220
Cleanslate Medical Group Of Connecticut Llc
85 Gillett St
Hartford
CT 06105-2630

Ph: (615) 425-0220

NPI Details:

NPI Number1073057071
Provider Enumeration Date12/09/2016
Last Update Date03/23/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2961779210
Medicare Enrollment IDO20170517001700

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Medical Identifiers

Medical identifiers for Cleanslate Medical Group Of Connecticut Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073057071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RA0401XInternal Medicine - Addiction Medicine (* (Not Available))Primary

Medicare Reassignments

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