Taesun P Chung, MD | |
2000 Post Rd, Suite 305, Fairfield, CT 06824-5730 | |
(203) 254-3242 | |
(203) 254-3664 |
Full Name | Taesun P Chung |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2000 Post Rd, Fairfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528083516 | NPI | - | NPPES |
0V7442 | Other | CT | PHS |
001334284 | Medicaid | CT | |
ZP245 | Other | CT | OXFORD |
00133428403 | Other | CT | BLUE CARE |
171024 | Other | CT | PREF ONE |
746514 | Other | CT | CTCARE |
00133428CT06 | Other | CT | ANTHEM |
061610160 | Other | CT | COM HEALTH |
2508643 | Other | CT | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 033428 (Connecticut) | Primary |
Entity Name | South-west Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699703686 PECOS PAC ID: 2466445200 Enrollment ID: O20040420001098 |
Mailing Address | Practice Location Address |
---|---|
Taesun P Chung, MD 2800 Main St, St.vincent's Multispecialty Group, Bridgeport, CT 06606-4201 Ph: (203) 576-5346 | Taesun P Chung, MD 2000 Post Rd, Suite 305, Fairfield, CT 06824-5730 Ph: (203) 254-3242 |
Dr. Raquel Huruta Dias, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1305 Post Rd, Suite 103, Fairfield, CT 06824 Phone: 203-955-1990 Fax: 203-955-1991 | |
Dr. Charles Gerakd Hemenway Ii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Beach Rd, 3rd Floor, Fairfield, CT 06824 Phone: 203-256-9249 Fax: 203-256-0760 | |
Dr. Sunil Mehra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1175 Stillson Rd, Fairfield, CT 06824 Phone: 647-267-5665 | |
Dr. Nancy C Amberson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Tunxis Hill Cut Off, Fairfield, CT 06825 Phone: 203-452-8322 Fax: 203-452-2296 | |
Dr. Thomas I Odinak, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Tunxis Hill Cut Off, Fairfield, CT 06825 Phone: 203-452-8322 Fax: 203-452-2296 | |
Dr. Sonja Alise Vindheim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 50 Unquowa Pl, Fairfield, CT 06824 Phone: 203-452-8322 Fax: 203-254-1058 |