Tracy G Civitillo (NPI# 1639235609, PAC ID# 6901879675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1639235609 |
| PAC ID by PECOS | 6901879675 |
| Professional Enrollment ID | I20040819000803 |
| Full Name | Tracy G Civitillo |
| Organization Legal Name | DAY KIMBALL MEDICAL GROUP INC |
| Address |
132 Westminster Rd Family Medicine Canterbury Canterbury CT 06331-1454 |
| Phone Number | 8605462225 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557514411 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 | 8605462225 | DAY KIMBALL MEDICAL GROUP INC |
| Organization Legal Name | DAY KIMBALL MEDICAL GROUP INC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Mazur | Internal Medicine | Day Kimball Medical Group Inc | 168 Route 171, Woodstock, CT 06281-3123 |
| Rebecca L Ladyka | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Gerald B Sullivan | Family Medicine | Day Kimball Medical Group Inc | 7 Kennedy Dr, Putnam, CT 06260-1939 |
| Robert D Mccallum | General Surgery | Day Kimball Medical Group Inc | 346 Pomfret St, Putnam, CT 06260-1871 |
| Timothy Monahan | Dermatology | Day Kimball Medical Group Inc | 55 Green Hollow Rd, Danielson, CT 06239-3533 |
| Andrew Mackenzie | Obstetrics/gynecology | Day Kimball Medical Group Inc | 320 Pomfret St, Putnam, CT 06260-1836 |
| Paul J Matty | Internal Medicine | Day Kimball Medical Group Inc | 612 Hartford Pike, Dayville, CT 06241-2159 |
| Kimberly J Lane | Certified Clinical Nurse Specialist (cns) | Day Kimball Medical Group Inc | 45 Green Hollow Rd, Danielson, CT 06239-3509 |
| Alexandra Nicole Lopez | Nurse Practitioner | Day Kimball Medical Group Inc | 45 Green Hollow Rd, Danielson, CT 06239-3509 |
| Ronald J Franzino | General Surgery | Day Kimball Medical Group Inc | 320 Pomfret St, Putnam, CT 06260-1836 |
| Street Address |
132 WESTMINSTER RD FAMILY MEDICINE CANTERBURY |
| City | CANTERBURY |
| State | CT |
| Zip | 06331-1454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca L Ladyka | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Marc T Campos | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Jennifer Bernardo-bailey | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Betsy L Alvarado | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Keith Reynolds Ringuette | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Angela D Qualey | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Francesca Sessa | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Deirdre L Foisy | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bianca E Cantwell | Physical Therapy | 180 Westminster Rd, Canterbury, CT 06331-1431 | |
| Philip H Brown | Clinical Social Worker | 39 S Canterbury Rd, Canterbury, CT 06331-1520 |
| City | CANTERBURY |
| Zip Code | 06331 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CANTERBURY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tracy G Civitillo.
| 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.