Dr Shannon Conley Peterson, DO | |
170 Hazard Ave, Enfield, CT 06082-4520 | |
(860) 763-4001 | |
Not Available |
Full Name | Dr Shannon Conley Peterson |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 17 Years |
Location | 170 Hazard Ave, Enfield, 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 |
---|---|---|---|
1699975235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 049507 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Hospital & Medical Center | Hartford, CT | Hospital |
Johnson Memorial Hospital | Stafford springs, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
Physicians For Women's Health, Llc | 3274430665 | 277 |
Entity Name | Trinity Health Of New England Provider Network Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
Entity Name | Physicians For Women's Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801826680 PECOS PAC ID: 3274430665 Enrollment ID: O20031215000455 |
Mailing Address | Practice Location Address |
---|---|
Dr Shannon Conley Peterson, DO 170 Hazard Ave, Enfield, CT 06082-4520 Ph: (860) 763-4001 | Dr Shannon Conley Peterson, DO 170 Hazard Ave, Enfield, CT 06082-4520 Ph: (860) 763-4001 |
George Bacall, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 170 Hazard Ave, Enfield, CT 06082 Phone: 860-763-4001 Fax: 860-749-5592 | |
Virginia Susan Ferlan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 170 Hazard Ave, Enfield, CT 06082 Phone: 860-763-4001 Fax: 860-749-5592 | |
Dr. Emma La Perla, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 170 Hazard Ave Ste 2, Enfield, CT 06082 Phone: 860-763-4001 Fax: 860-749-5592 | |
Dr. Michael F. Morosky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9 Cranbrook Blvd, 2nd Floor, Enfield, CT 06082 Phone: 860-253-5330 Fax: 860-253-5331 | |
Dr. Thomas Baird Fitzgerald, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 170 Hazard Ave, Enfield, CT 06082 Phone: 860-763-4001 | |
Smita Bhagat, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 139 Hazard Ave, Bldg 3 Unit 10, Enfield, CT 06082 Phone: 860-763-4337 | |
Carla Desantis, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 170 Hazard Ave, Enfield, CT 06082 Phone: 860-763-4001 Fax: 860-749-5592 |