Dr Modestus Lee, MD | |
5 Perryridge Road, Greenwich Hospital Nicu, Greenwich, CT 06830-4697 | |
(203) 863-3542 | |
(203) 863-3816 |
Full Name | Dr Modestus Lee |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 5 Perryridge Road, Greenwich, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568486975 | NPI | - | NPPES |
50GREENEOCT01 | Other | CT | ANTHEM |
P1126523 | Other | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 038874 (Connecticut) | Primary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 038874 (Connecticut) | Primary |
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Mailing Address | Practice Location Address |
---|---|
Dr Modestus Lee, MD Po Box 673, Old Greenwich, CT 06870-0673 Ph: (203) 863-3542 | Dr Modestus Lee, MD 5 Perryridge Road, Greenwich Hospital Nicu, Greenwich, CT 06830-4697 Ph: (203) 863-3542 |
Zara Nadia Ilahi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Perryridge Rd, Greenwich, CT 06830 Phone: 203-863-3000 | |
Madhurima Chowdhury, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Valley Dr Ste 2, Greenwich, CT 06831 Phone: 203-622-4301 | |
Dr. Courtney Elizabeth Raker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Valley Dr, #4, Greenwich, CT 06831 Phone: 203-622-4301 | |
Danya J Rosen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5 Perryridge Rd, Greenwich, CT 06830 Phone: 203-785-4649 Fax: 203-737-1384 | |
Dr. Lauren W. Carton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 644 W Putnam Ave, Greenwich, CT 06830 Phone: 203-210-2815 Fax: 203-210-2816 | |
Dr. Rebeca Ruth Briones Andriuoli, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42 Sherwood Pl Ste 3, Greenwich, CT 06830 Phone: 214-705-4924 | |
Paul Juan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42 Sherwood Pl, Greenwich, CT 06830 Phone: 203-661-2440 |