Jeanette M Tetrault, MD | |
1 Long Wharf Dr, New Haven, CT 06511-5991 | |
(203) 781-4600 | |
(203) 781-4624 |
Full Name | Jeanette M Tetrault |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 23 Years |
Location | 1 Long Wharf Dr, New Haven, 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 |
---|---|---|---|
1003841321 | NPI | - | NPPES |
C01033 | Other | CT | MEDICARE PTAN |
008023170 | Medicaid | CT | |
004041000 | Medicaid | CT | |
004082286 | Medicaid | CT | |
008001325 | Medicaid | CT | |
008039745 | Medicaid | CT | |
500000315 | Medicaid | CT | |
001423136 | Medicaid | CT | |
004217099 | Medicaid | CT | |
004082260 | Medicaid | CT | |
008022622 | Medicaid | CT | |
008022626 | Medicaid | CT | |
008024427 | Medicaid | CT | |
008042339 | Medicaid | CT | |
D400081097 | Other | CT | MEDICARE GROUP MEMBER PIN/PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 042313 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Yale-new Haven Hospital | New haven, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Apt Foundation, Inc | 8729250204 | 13 |
Yale University | 9436061736 | 2238 |
Entity Name | Yale University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Entity Name | Cornell Scott Hill Health Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902921380 PECOS PAC ID: 3072418359 Enrollment ID: O20031201000145 |
Entity Name | Apt Foundation, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801950951 PECOS PAC ID: 8729250204 Enrollment ID: O20111005000111 |
Mailing Address | Practice Location Address |
---|---|
Jeanette M Tetrault, MD 1 Long Wharf Dr, New Haven, CT 06511-5991 Ph: (203) 781-4600 | Jeanette M Tetrault, MD 1 Long Wharf Dr, New Haven, CT 06511-5991 Ph: (203) 781-4600 |
Dr. Brian Christopher Cambi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Cedar St, Dcb 3, New Haven, CT 06510 Phone: 203-785-4129 Fax: 203-737-2437 | |
Ms. Maryam Gondal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Cedar Street, Bb 114, New Haven, CT 06510 Phone: 203-785-4184 | |
Matthew Joseph Mcconnell, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 333 Cedar St, Ynhh Internal Medicine-gi,section Of Digestive Diseases, New Haven, CT 06510 Phone: 203-785-7012 | |
Marie Anjeliese Rodriguez, Internal Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Dr. Margaret M Xu, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Carola Marte, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Chapel St, Haelen Center, New Haven, CT 06511 Phone: 203-789-4135 Fax: 203-867-5241 |