Individual ProviderPadma MukherjeeDentistDental ProvidersPractice Address263 Farmington Ave, Farmington, CT 06030-0001(860) 679-4471PECOS EnrollmentBased on the most recent information from CMS, provider Padma Mukherjee is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063675270Provider TypeIndividualFull NameMukherjee, PadmaCredentialB.D.S.GenderFemaleSole ProprietorNoEnumeration Date7/8/2008Last Updated7/8/2008Contact InformationPractice LocationPractice Address263 Farmington Ave, Farmington, CT 06030-0001Phone(860) 679-4471FaxUnlisted FaxMailing LocationMailing Address263 Farmington Ave, Farmington, CT 06030-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223X0400XPrimaryDescriptionDentistDental ProvidersLicense9897Connecticut