Lata Rao Jayanthi, MD | |
95 Scovill St, 3rd Floor, Waterbury, CT 06706-1113 | |
(203) 709-6000 | |
Not Available |
Full Name | Lata Rao Jayanthi |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 95 Scovill St, Waterbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841226354 | NPI | - | NPPES |
3140536/4383729 | Other | CT | AETNA |
001310268 | Medicaid | CT | |
010031026CT01 | Other | CT | ANTHEM BCBS CT |
09-21728 | Other | CT | AMERICHOICE |
310260-N063 | Other | CT | CONNECTICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 031026 (Connecticut) | Primary |
Entity Name | Staywell Health Care Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154342335 PECOS PAC ID: 6305750480 Enrollment ID: O20031113000374 |
Mailing Address | Practice Location Address |
---|---|
Lata Rao Jayanthi, MD 80 Phoenix Ave 201, Waterbury, CT 06702-1418 Ph: (203) 756-8021 | Lata Rao Jayanthi, MD 95 Scovill St, 3rd Floor, Waterbury, CT 06706-1113 Ph: (203) 709-6000 |
Dr. Maria Tasso, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-346-6971 | |
Elizabeth Marie Bailey Geib, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Dr. Ellen Mascoli-lanza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-346-6971 | |
Neysa J. Mcdonald, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Stephen J Maddox Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Elsa Mercedes Martinez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 80 Phoenix Ave Ste 201, Waterbury, CT 06702 Phone: 203-756-8021 | |
Dr. Linda T Mathew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2457 E Main St, Waterbury, CT 06705 Phone: 203-754-0169 Fax: 203-578-3420 |