Niamey Susannah Wilson, MD | |
114 Woodland St, Comprehensive Women's Health Center-breast Center, Hartford, CT 06105-1208 | |
(860) 714-6318 | |
(860) 714-9990 |
Full Name | Niamey Susannah Wilson |
---|---|
Gender | Female |
Speciality | Surgical Oncology |
Experience | 18 Years |
Location | 114 Woodland St, Hartford, 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 |
---|---|---|---|
1942357496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MT188433 (Pennsylvania) | Secondary |
2086X0206X | Surgery - Surgical Oncology | 53269 (Connecticut) | Secondary |
208600000X | Surgery | 53269 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midstate Medical Center | Meriden, CT | Hospital |
The Hospital Of Central Connecticut | New britain, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1180 |
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 | Hartford Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
Mailing Address | Practice Location Address |
---|---|
Niamey Susannah Wilson, MD 455 Lewis Ave, Ste 203, Meriden, CT 06451-2121 Ph: (860) 714-6318 | Niamey Susannah Wilson, MD 114 Woodland St, Comprehensive Women's Health Center-breast Center, Hartford, CT 06105-1208 Ph: (860) 714-6318 |
James Joseph Gallagher Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 85 Seymour St, Suite 409, Hartford, CT 06106 Phone: 860-522-4158 Fax: 860-524-2652 | |
Lindsay M Difelice, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-972-5022 | |
Dr. James John Matino, MD Surgery Medicare: Medicare Enrolled Practice Location: 1000 Asylum Ave, Suite 2118, Hartford, CT 06105 Phone: 860-241-0870 Fax: 860-241-8296 | |
Alan David Drezner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-522-4158 Fax: 860-524-2652 | |
Dr. Jessica M Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St, Suite 415, Hartford, CT 06106 Phone: 860-246-2071 Fax: 860-524-2650 | |
Tracy Morales, DO Surgery Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Cb 101, Hartford, CT 06102 Phone: 860-545-4187 Fax: 860-545-2006 | |
Dr. Scheuster Emmanuel Christie, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 4320, Hartford, CT 06105 Phone: 860-714-5237 Fax: 860-714-8311 |