Dr Elizabeth T Pericat, MD | |
225 Hopmeadow St, Weatogue, CT 06089-9782 | |
(860) 658-0465 | |
(860) 658-5963 |
Full Name | Dr Elizabeth T Pericat |
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Gender | Female |
Speciality | Pediatrics |
Location | 225 Hopmeadow St, Weatogue, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154334274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 039127 (Connecticut) | Primary |
Entity Name | Prohealth Physicians Pc |
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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 Elizabeth T Pericat, MD 4 Farm Springs Rd, Prohealth Physicians, Farmington, CT 06032-2573 Ph: (860) 284-5200 | Dr Elizabeth T Pericat, MD 225 Hopmeadow St, Weatogue, CT 06089-9782 Ph: (860) 658-0465 |
Dr. Daniel L Spada, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963 | |
Dr. Mark Andrew Sabo, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 | |
Dr. Richard H Bason, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963 | |
Dr. Sydney Ladenheim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963 | |
Jamie Lyn Schned, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 | |
Dr. Janice J Johnston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963 |