Unknown Individual – Medical Physician Assistant, NPI 1154419901
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Burgdorf/Bank of America Health Center, 131, Coventry Street, Hartford, Hartford County, Connecticut, 06112, United States
HARTFORD, CT 061121548
Phone: (860) 714-2813
Fax: (860) 714-8541
Type: Location
108, Ridgewood Road, South Glastonbury, Glastonbury, Capitol Planning Region, Connecticut, 06033, United States
GLASTONBURY, CT 060333639
Phone: (860) 714-2813
Fax: (860) 714-8541
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($108).
Total Amount
$108
General + Research + Ownership
Payments
4
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $108 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06112)
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Reviews
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