Patrick Siegele, MD | |
50 Gaylord Farm Rd, Wallingford, CT 06492-2899 | |
(203) 284-2800 | |
Not Available |
Full Name | Patrick Siegele |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 50 Gaylord Farm Rd, Wallingford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255998357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208100000X | Physical Medicine & Rehabilitation | 73622 (Connecticut) | Primary |
Entity Name | Gaylord Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730137753 PECOS PAC ID: 1153224191 Enrollment ID: O20040128000878 |
Mailing Address | Practice Location Address |
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Patrick Siegele, MD Po Box 400, Wallingford, CT 06492-7048 Ph: (203) 284-2800 | Patrick Siegele, MD 50 Gaylord Farm Rd, Wallingford, CT 06492-2899 Ph: (203) 284-2800 |
Paul Nittoli, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: Gaylord Farms Rd., Wallingford, CT 06492 Phone: 203-284-2802 Fax: 203-679-3598 | |
David Rosenblum, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: Gaylord Farms Rd., Wallingford, CT 06492 Phone: 203-284-2800 Fax: 203-679-3598 | |
Alyse Sicklick, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: Gaylord Farms Rd, Wallingford, CT 06492 Phone: 203-284-2800 Fax: 203-679-3598 | |
Luci Juvan, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: Gaylord Farms Rd., Wallingford, CT 06492 Phone: 203-284-2800 Fax: 203-679-3598 | |
Dr. John William O'brien, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: Gaylord Farm Rd., Wallingford, CT 06492 Phone: 203-284-2800 Fax: 203-679-3598 | |
John Marino, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 701 N Colony Rd, Wallingford, CT 06492 Phone: 203-407-3589 Fax: 203-466-8584 |