Ihor Nicholas Ponomarenko, MD | |
350 Seymour Ave, Suite 101, Derby, CT 06418-1336 | |
(203) 732-3443 | |
(203) 732-4011 |
Full Name | Ihor Nicholas Ponomarenko |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 31 Years |
Location | 350 Seymour Ave, Derby, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568491181 | NPI | - | NPPES |
001415563 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 041556 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Griffin Hospital | Derby, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Griffin Faculty Physicians Inc | 7618871997 | 105 |
Entity Name | Griffin Faculty Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598755605 PECOS PAC ID: 7618871997 Enrollment ID: O20031120000158 |
Mailing Address | Practice Location Address |
---|---|
Ihor Nicholas Ponomarenko, MD 350 Seymour Ave, Suite 101, Derby, CT 06418-1336 Ph: (203) 732-3443 | Ihor Nicholas Ponomarenko, MD 350 Seymour Ave, Suite 101, Derby, CT 06418-1336 Ph: (203) 732-3443 |
Dr. Deepali Jain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Seymour Ave Ste 2, Derby, CT 06418 Phone: 203-732-3443 Fax: 855-287-1988 | |
Dr. Denise Barajas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Seymour Ave Ste 101, Derby, CT 06418 Phone: 203-732-7233 Fax: 203-732-7556 | |
Dr. Vani Savalgi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 | |
Leland J Soto Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Seymour Ave Ste 101, Derby, CT 06418 Phone: 203-732-3443 Fax: 855-287-1988 | |
Rebecca Lee Pritchard, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7325 |