Carleen Blois, PA
Individual provider Active NPI Surgical Physician Assistant · New Britain, CT
NPI 1104920248 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104920248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 000477 (CT)
- Practice address
- 100 Grand Street
Medical Staff Office, Att: Ondrea Chasse
New Britain, CT 06050 - Phone
- (860) 224-5305
- Fax
- (860) 224-5565
- NPI assigned
- Sep 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midstate Medical Center
Practice addresses (Care Compare)
435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.06 of 100
- Quality
- 87.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.51
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041022000621 | CT | Practitioner - Physician Assistant | 4385605369 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Pathology Associates, P.C. | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Current |
Accepting new patients | |
| Hartford Hospital | Current |
Accepting new patients | |
| Midstate Medical Center | Current |
Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current |
Accepting new patients |
Locations
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
Ofc Att
New Britain, CT 06052
Phone (860) 224-5305
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- carleen.blois@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 000477 | CT | Yes |
Addresses
Primary practice location
100 Grand Street
Medical Staff Office, Att: Ondrea Chasse
New Britain, CT 06050
Mailing address
100 Grand Street
New Britain, CT 06050
Phone (860) 224-5305
Other providers in New Britain, CT
- Tracy Blanford
- Jeffrey Steven Blau
- Cady Elizabeth Blea
- Joanna Hope Bledsoe
- Danielle Aimee Blinstrubas
- Jacquelyn Blois
- Evelyn Boateng
- Hilda Marfo Boateng
- Adrian D Bobriwnyk
- Ciara Bogar
All providers in New Britain, CT · Surgical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.