Mary Rose G Tantoco
SOUTHEASTERN CT NEPHROLOGY ASSOC PC


Address: 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518
Phone: 8603670087

Mary Rose G Tantoco (NPI# 1336315969, PAC ID# 3072747666) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1336315969
PAC ID by PECOS 3072747666
Professional Enrollment ID I20190307000921
Full Name Mary Rose G Tantoco
Organization Legal Name SOUTHEASTERN CT NEPHROLOGY ASSOC PC
Address 88 Norwich New London Tpke
Suite 2
Uncasville
CT 06382-2518
Phone Number 8603670087
Gender F
Graduation Year 2009
Primary Specialty NEPHROLOGY
Group Practice PAC ID 3971554197
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070007 LAWRENCE & MEMORIAL HOSPITAL
070024 WILLIAM W BACKUS HOSPITAL
420049 CONWAY MEDICAL CENTER

Other Locations

Address Phone Organization
88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 8603670087 SOUTHEASTERN CT NEPHROLOGY ASSOC PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 99%
ACI_EC_TRANS_MR_1 Medication Reconciliation 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 66%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 4%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 49%
ACI_EC_TRANS_SM_1 Secure Messaging 1%

Organization Information

Organization Legal Name SOUTHEASTERN CT NEPHROLOGY ASSOC PC
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Saqib Inayatullah Nephrology Southeastern Ct Nephrology Assoc PC 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518
Mihaela O Negulescu Nephrology Southeastern Ct Nephrology Assoc PC 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518
Jay M Ginsberg Nephrology Southeastern Ct Nephrology Assoc PC 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518
Mihkel Haus Nephrology Southeastern Ct Nephrology Assoc PC 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518
Thomas C Peter Nephrology Southeastern Ct Nephrology Assoc PC 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518

Office Location

Street Address 88 NORWICH NEW LONDON TPKE
SUITE 2
City UNCASVILLE
State CT
Zip 06382-2518

Physicians in the same location

Name Specialty Organization Address
Saqib Inayatullah Nephrology Southeastern Ct Nephrology Assoc PC 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518
Mihaela O Negulescu Nephrology Southeastern Ct Nephrology Assoc PC 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518
Todd S Stelik Occupational Therapy 88 Norwich New London Tpke, Suite 1, Uncasville, CT 06382-2518
Jay M Ginsberg Nephrology Southeastern Ct Nephrology Assoc PC 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518
Mihkel Haus Nephrology Southeastern Ct Nephrology Assoc PC 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518
Thomas C Peter Nephrology Southeastern Ct Nephrology Assoc PC 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518

Physicians in the same zip code

Name Specialty Organization Address
Peter S Hahn Cardiac Electrophysiology 2020 Norwich New London Tpke, Suite 12, Uncasville, CT 06382-1374
Danielle Lee Mallory Nurse Practitioner Kristin Mahan, Aprn, Fnp-c, LLC 620 Norwich New London Tpke, Uncasville, CT 06382-2121
Stephanie Sloan Nurse Practitioner 620 Norwich New London Tpke, Uncasville, CT 06382-2121
Kristin M Mahan Nurse Practitioner Kristin Mahan, Aprn, Fnp-c, LLC 620 Norwich New London Tpke, Uncasville, CT 06382-2121
Mallory Muzykoski Nurse Practitioner Kristin Mahan, Aprn, Fnp-c, LLC 620 Norwich New London Tpke, Uncasville, CT 06382-2121
Michael L Murphy Chiropractic 9 Maple Ave Ext, Uncasville, CT 06382-2417
Jill M Lombardo Physical Therapy Independence Physical Therapy, LLC 80 Norwich New London Tpke, Suite 2e, Uncasville, CT 06382-2527
Cynthia A Holliday Physical Therapy Independence Physical Therapy, LLC 80 Norwich New London Tpke, Suite 2e, Uncasville, CT 06382-2527

Competitor

Search similar physicians

City UNCASVILLE
Zip Code 06382
Specialty NEPHROLOGY
City + Specialty UNCASVILLE + NEPHROLOGY

Improve Information

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Dataset Information

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.

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