Suzanne M Powell, MD | |
12a Ledgebrook Dr, Mansfield Center, CT 06250-1690 | |
(860) 423-2960 | |
(860) 423-3719 |
Full Name | Suzanne M Powell |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 12a Ledgebrook Dr, Mansfield Center, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013905363 | NPI | - | NPPES |
001427914 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 042791 (Connecticut) | Primary |
Entity Name | Prohealth Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Entity Name | Day Kimball Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376813972 PECOS PAC ID: 1557514411 Enrollment ID: O20130102000091 |
Mailing Address | Practice Location Address |
---|---|
Suzanne M Powell, MD 320 Pomfret St, Putnam, CT 06260-1836 Ph: (860) 963-6390 | Suzanne M Powell, MD 12a Ledgebrook Dr, Mansfield Center, CT 06250-1690 Ph: (860) 423-2960 |
Dr. Craig Russell Elliott, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719 | |
Julie Mary Asare, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12 Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 608-423-2960 | |
Dr. Ronald Wolz Kelly, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719 | |
Dr. Anne Schwirck Willenborg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719 | |
Dr. Thomas Harrison Gorin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719 |