Dr Naheed Asad Van De Walle, MD | |
111 Salem Tpke, Norwich, CT 06360-7403 | |
(860) 972-5107 | |
Not Available |
Full Name | Dr Naheed Asad Van De Walle |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 53 Years |
Location | 111 Salem Tpke, Norwich, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760517288 | NPI | - | NPPES |
00790496 | Medicaid | NY | |
55247 | Other | NY | HIP |
P2728904 | Other | NY | OXFORD |
230152 | Other | NY | WCB |
0037004 | Other | NY | GHI |
A300100661 | Other | NY | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 154841 (New York) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 64242 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hartford Hospital | Hartford, CT | Hospital |
William W Backus Hospital | Norwich, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The William W Backus Hospital | 0749170645 | 175 |
Hartford Hospital | 2567366016 | 841 |
Taylor Therapy Center Pc | 8123183936 | 41 |
Entity Name | Hartford Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
Entity Name | Hartford Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
Entity Name | Windham Community Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
Entity Name | The William W Backus Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
Mailing Address | Practice Location Address |
---|---|
Dr Naheed Asad Van De Walle, MD 111 Salem Tpke, Norwich, CT 06360-7403 Ph: (860) 972-5107 | Dr Naheed Asad Van De Walle, MD 111 Salem Tpke, Norwich, CT 06360-7403 Ph: (860) 972-5107 |
Mr. Gaurav Kapur, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Alaric Justin-paul Gee, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 111 Salem Tpke Ste 1, Norwich, CT 06360 Phone: 860-972-5107 |