Active NPI
Drew Benjamin Lynne, D.O.
- Family Medicine Physician
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 67033
- Practice address
- 256 N Main St
Manchester, CT 06042-2004 - Phone
- (860) 696-2300
- NPI assigned
- Jul 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS017643 | PA | |
| Family Medicine Physician | 207Q00000X | 67033 | CT | Primary |
Addresses
Primary practice location
256 N Main St
Manchester, CT 06042-2004
Mailing address
1290 Silas Deane Hwy FL 1
Wethersfield, CT 06109-4337
Other practice location 1
640 Alden St
Meadville, PA 16335-2348
Phone (814) 373-5255
Other practice location 2
906 Washington St
Conneautville, PA 16406-7138
Phone (814) 373-2276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
256 N Main St
Manchester, CT 06042-2004
Phone (860) 696-2290
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.48 of 100
- Quality
- 83.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67033 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Hartford Healthcare Medical Group, Inc | Past | Accepting new patients |
Locations
339 W Main St
Avon, CT 06001
Phone (860) 696-2150
256 N Main St
Manchester, CT 06042
Phone (860) 646-8595
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1290 Silas Deane Hwy
Fl 1
Wethersfield, CT 06109
Phone (860) 972-6970
Interoperability endpoints
- drew.lynne@xdr.hhchealthdirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hartford HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1720140221
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1801236047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SILAS DEANE HWY FL 1",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 N MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060422004",
"telephone_number": "860-696-2300"
}
],
"practiceLocations": [
{
"address_1": "640 Alden St",
"address_purpose": "LOCATION",
"city": "Meadville",
"state": "PA",
"postal_code": "163352348",
"country_code": "US",
"telephone_number": "814-373-5255",
"fax_number": "814-373-5259",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "906 Washington St",
"address_purpose": "LOCATION",
"city": "Conneautville",
"state": "PA",
"postal_code": "164067138",
"country_code": "US",
"telephone_number": "814-373-2276",
"fax_number": "814-587-2918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNNE",
"first_name": "DREW",
"middle_name": "BENJAMIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-02",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS017643",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "67033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Jacob Maalouf, MD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.