Mary Elizabeth Van Siclen (NPI# 1730590860, PAC ID# 5092033597) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1730590860 |
| PAC ID by PECOS | 5092033597 |
| Professional Enrollment ID | I20181003002665 |
| Full Name | Mary Elizabeth Van Siclen |
| Organization Legal Name | MHS PRIMARY CARE, INC |
| Address |
80 Shunpike Rd Suite 301 Cromwell CT 06416-4402 |
| Phone Number | 8606325570 |
| Gender | F |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4082507371 |
| Number of Group Practice Members | 100 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4402 | 8606325570 | MHS PRIMARY CARE, INC |
| 6 Main St, Durham, CT 06422-2100 | 8603491058 | MHS PRIMARY CARE, INC |
| 896 Washington St, Middlesex Hospital Urgent Care, Middletown, CT 06457-2912 | 8607883632 | MHS PRIMARY CARE, INC |
| 1687 Boston Post Rd, Old Saybrook, CT 06475-1608 | 8606615976 | MHS PRIMARY CARE, INC |
| Organization Legal Name | MHS PRIMARY CARE, INC |
| Physicians | 114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal M Marquez | Family Medicine | Mhs Primary Care, Inc | 1687 Boston Post Rd, Old Saybrook, CT 06475-1608 |
| Stephen Daniel Socha | Nurse Practitioner | Mhs Primary Care, Inc | 150 Main St, Chester, CT 06412-1340 |
| Chia-chi Wang | Surgical Oncology | Mhs Primary Care, Inc | 520 Saybrook Rd, Suite S100, Middletown, CT 06457-4700 |
| Monika E Kieltyka | Nurse Practitioner | Mhs Primary Care, Inc | 540 Saybrook Rd, Middletown, CT 06457-4711 |
| Zoe G Mcglamery | Nurse Practitioner | Mhs Primary Care, Inc | 146 Samson Rock Dr, Madison, CT 06443-3018 |
| Jyoti Mittal | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Andrea M Malon | General Surgery | Mhs Primary Care, Inc | 1353 Boston Post Rd, Madison, CT 06443-3445 |
| Louise M Maloney | Family Medicine | Mhs Primary Care, Inc | 9 Wildwood Medical Ctr, Unit 2, Essex, CT 06426-1155 |
| Danielle M Grillo | Nurse Practitioner | Mhs Primary Care, Inc | 146 Samson Rock Dr, Madison, CT 06443-3018 |
| Megin K Iaccarino | Nurse Practitioner | Mhs Primary Care, Inc | 146 Samson Rock Dr, Madison, CT 06443-3018 |
| Street Address |
80 SHUNPIKE RD SUITE 301 |
| City | CROMWELL |
| State | CT |
| Zip | 06416-4402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ania Mitchell | Registered Dietitian Or Nutrition Professional | 80 Shunpike Rd, Unit 101a, Cromwell, CT 06416-4402 | |
| Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd, Cromwell, CT 06416-4401 | |
| Lindsey Dickison | Clinical Social Worker | 80 Shunpike Rd, Unit 101, Cromwell, CT 06416-4402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Jay Nason | Optometry | 161 Berlin Rd, Cromwell, CT 06416-1021 | |
| Lauren M Strawn | Optometry | 4d Optometry LLC | 181 Shunpike Rd B, Cromwell, CT 06416-1143 |
| Juanita D Collier | Optometry | 4d Optometry LLC | 181 Shunpike Rd B, Cromwell, CT 06416-1143 |
| Amy Chen | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| Justin J Finch | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| Hanspaul Makkar | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| Bruce E Strober | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| James D Whalen | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| Mona Shahriari | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| Alane Villar | Clinical Social Worker | 1 Willowbrook Rd, Suite 6, Cromwell, CT 06416-1745 | |
| Find all physicians in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CROMWELL + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Mary Elizabeth Van Siclen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.