Dr Ivelisse Rivera-godreau, MD | |
134 State St, Meriden, CT 06450-3293 | |
(203) 237-2229 | |
(203) 686-1677 |
Full Name | Dr Ivelisse Rivera-godreau |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 134 State St, Meriden, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407881626 | NPI | - | NPPES |
D400001144 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 047088 (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 |
Entity Name | Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
Mailing Address | Practice Location Address |
---|---|
Dr Ivelisse Rivera-godreau, MD 635 Main St, Attn: Credentialing Dpt, Middletown, CT 06457-2718 Ph: (860) 347-6971 | Dr Ivelisse Rivera-godreau, MD 134 State St, Meriden, CT 06450-3293 Ph: (203) 237-2229 |
Grace Cha, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Pomeroy Ave Unit 1, Meriden, CT 06450 Phone: 203-694-5340 | |
Dr. David Mark Taraskevich, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 237 Liberty St, Meriden, CT 06450 Phone: 203-237-2200 Fax: 203-630-0655 | |
Dr. Anthony G Lendino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 546 South Broad St, Ste 4b, Meriden, CT 06450 Phone: 203-634-3905 Fax: 203-634-7700 | |
Dr. Alex Faustin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 816 Broad St, Suite 24, Meriden, CT 06450 Phone: 203-634-0086 Fax: 203-237-6010 | |
Rashele Yarborough, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 816 Broad St, Suite 24, Meriden, CT 06450 Phone: 203-634-0086 | |
Daniel Wilensky, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677 |