Dr Andrea G Dixon, MD | |
210 Main Street, Manchester, CT 06040 | |
(860) 646-0313 | |
(860) 643-3086 |
Full Name | Dr Andrea G Dixon |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 210 Main Street, Manchester, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699725929 | NPI | - | NPPES |
6224 | Other | CT | LAST 4 OF EIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 045265 (Connecticut) | Primary |
Entity Name | Prohealth Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrea G Dixon, MD 210 Main Street, Manchester, CT 06040 Ph: (860) 646-0313 | Dr Andrea G Dixon, MD 210 Main Street, Manchester, CT 06040 Ph: (860) 646-0313 |
Dr. Usha Reddy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 Main St, Manchester, CT 06040 Phone: 860-643-5218 Fax: 860-646-1261 | |
Cathleen Kowalski, D.M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 192 Main St, Manchester, CT 06042 Phone: 860-649-4655 Fax: 860-646-3281 | |
Jorge Alba, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-647-6439 | |
Dr. Glenn Koehler, D.D.S. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 192 Main St, Manchester, CT 06042 Phone: 860-649-4655 Fax: 860-646-3281 | |
Dr. Frank Joseph Bush, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27 Hilliard St, Manchester, CT 06042 Phone: 860-646-3903 Fax: 860-645-3492 | |
Dr. Sobhy Labib Ghabrial, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 153 Main St, Manchester, CT 06042 Phone: 860-646-3586 Fax: 860-646-7793 | |
Dr. Kenneth N. Spiegelman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27 Hilliard St, Manchester, CT 06042 Phone: 860-646-3903 Fax: 860-645-3492 |