Shannon B Beausoleil I, MD | |
1216 Farmington Ave Ste 202, West Hartford, CT 06107-2673 | |
(860) 236-0331 | |
(860) 263-8697 |
Full Name | Shannon B Beausoleil I |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 1216 Farmington Ave Ste 202, West 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 |
---|---|---|---|
1942291653 | NPI | - | NPPES |
3352025 | Other | MA | AETNA |
1302469 | Medicaid | MA | |
218498 | Other | MA | CONNECTICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 043733 (Connecticut) | Secondary |
208000000X | Pediatrics | 043733 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Johnson Memorial Hospital | Stafford springs, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Collins Medical Associates 2 Pc | 3779486345 | 35 |
Entity Name | Collins Medical Associates 2 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912928169 PECOS PAC ID: 3779486345 Enrollment ID: O20040216000064 |
Mailing Address | Practice Location Address |
---|---|
Shannon B Beausoleil I, MD 1216 Farmington Ave Ste 202, West Hartford, CT 06107-2673 Ph: (860) 236-0331 | Shannon B Beausoleil I, MD 1216 Farmington Ave Ste 202, West Hartford, CT 06107-2673 Ph: (860) 236-0331 |
Dr. Susan Owen Perks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 N Main St Ste 248, West Hartford, CT 06117 Phone: 860-231-8345 Fax: 860-523-4061 | |
Dr. Jennifer S Wilner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 785 Farmington Ave, West Hartford, CT 06119 Phone: 860-523-4100 Fax: 860-523-1462 | |
Dr. Allyson N Duffy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 North Main St, Ste 248, West Hartford, CT 06117 Phone: 860-231-8453 Fax: 860-523-4061 | |
Dr. Tilak C Gooneratne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 N Main St, Ste 248, West Hartford, CT 06117 Phone: 860-231-8453 Fax: 860-523-4061 | |
Yanet Ravelo, Pediatrics Medicare: Medicare Enrolled Practice Location: 1216 Farmington Ave Ste 202, West Hartford, CT 06107 Phone: 860-236-0331 | |
Dr. Nima G Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81 S Main St, #5, West Hartford, CT 06107 Phone: 860-521-4044 | |
Thomas Newman Fromson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 785 Farmington Ave, West Hartford, CT 06119 Phone: 860-523-4100 Fax: 860-523-0086 |