Dr Pamela Hetherington, MD | |
428 Columbus Ave, New Haven, CT 06519-1233 | |
(203) 503-3250 | |
(203) 503-3254 |
Full Name | Dr Pamela Hetherington |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 428 Columbus Ave, New Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760457485 | NPI | - | NPPES |
004235918 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036588 (Connecticut) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 036588 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
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Dr Pamela Hetherington, MD 400 Columbus Ave, New Haven, CT 06519-1233 Ph: (203) 503-3250 | Dr Pamela Hetherington, MD 428 Columbus Ave, New Haven, CT 06519-1233 Ph: (203) 503-3250 |
Sharon Hasbani, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 136 Sherman Ave, New Haven, CT 06511 Phone: 203-562-8071 | |
Dr. Jennifer Buenzle Dwyer, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510 Phone: 203-433-2788 Fax: 203-688-5599 | |
Neeharika Thottempudi, MBBS Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Dr. Sean Michael Pennetti, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Dr. Nancy Dian Olson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 47 Trumbull St, New Haven, CT 06510 Phone: 203-785-1898 Fax: 203-281-3707 | |
George J. Watstein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 York St, Suite 2 A, New Haven, CT 06511 Phone: 203-624-6431 Fax: 203-624-6452 | |
Dr. Sidney Hornor Phillips, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 234 Church St, Suite #300, New Haven, CT 06510 Phone: 203-865-8246 |