Internal Medicine Group Llc - Medicare Primary Care in Norwich, CT

Internal Medicine Group Llc is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Norwich, Connecticut. The current practice location for Internal Medicine Group Llc is 1 Towne Park Plz, Norwich, Connecticut. For appointments, you can reach them via phone at (860) 887-0010. The mailing address for Internal Medicine Group Llc is 1 Towne Park Plz, Norwich, Connecticut and phone number is (860) 887-0010.

Internal Medicine Group Llc is licensed to practice in Connecticut (license number 037461). The clinic also participates in the medicare program and its NPI number is 1770617367. 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) 887-0010.

Contact Information

Internal Medicine Group Llc
1 Towne Park Plz
Norwich
CT 06360-2247
(860) 887-0010
(860) 887-0178

Primary Care Clinic Profile

Full NameInternal Medicine Group Llc
SpecialityInternal Medicine
Location1 Towne Park Plz, Norwich, Connecticut
Authorized Official Name and PositionHanna Kackielo (OWNER)
Authorized Official Contact8608870010
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Internal Medicine Group Llc
1 Towne Park Plz
Norwich
CT 06360-2247

Ph: (860) 887-0010
Internal Medicine Group Llc
1 Towne Park Plz
Norwich
CT 06360-2247

Ph: (860) 887-0010

NPI Details:

NPI Number1770617367
Provider Enumeration Date03/15/2007
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6204810401
Medicare Enrollment IDO20040615001607

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Medical Identifiers

Medical identifiers for Internal Medicine Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770617367NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 037461 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Internal Medicine Group Llc acts as a billing entity for following providers:
Provider NameHanna Kackielo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598714701
PECOS PAC ID: 0749264943
Enrollment ID: I20040616000583

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Provider NameJulie Ann Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316299704
PECOS PAC ID: 3971756974
Enrollment ID: I20121226000001

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Provider NameJeanne Marie Harrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194452599
PECOS PAC ID: 0547638546
Enrollment ID: I20221123000580

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Provider NameElizabeth Devlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346760253
PECOS PAC ID: 7315292232
Enrollment ID: I20230131001693

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