Larry Scherzer, | |
99 Ash St, East Hartford, CT 06108-3226 | |
(860) 282-3859 | |
Not Available |
Full Name | Larry Scherzer |
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Gender | Male |
Speciality | Pediatrics |
Location | 99 Ash St, East Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548267990 | NPI | - | NPPES |
1261031 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 026103 (Connecticut) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Mailing Address | Practice Location Address |
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Larry Scherzer, 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | Larry Scherzer, 99 Ash St, East Hartford, CT 06108-3226 Ph: (860) 282-3859 |
Dr. Sheikh Irfan Ahmed, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 580 Burnside Ave, Suite 4, East Hartford, CT 06108 Phone: 860-528-5068 Fax: 860-528-2341 | |
Eugene Fantl, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Ash St, East Hartford, CT 06108 Phone: 860-282-3859 Fax: 860-282-8574 | |
Dr. Jayashree Venkatesh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 893 Main St, Suite 303, East Hartford, CT 06108 Phone: 860-289-3047 Fax: 860-528-4735 | |
Dr. Latesha I Dawson Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Ash St, Uconn Medical Group-pediatrics, East Hartford, CT 06108 Phone: 860-282-3859 Fax: 860-282-8574 |