Tatyana Divino, DO | |
34 Proffessional Park Rd, Storrs, CT 06268-1659 | |
(860) 487-0002 | |
Not Available |
Full Name | Tatyana Divino |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 15 Years |
Location | 34 Proffessional Park Rd, Storrs, 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 |
---|---|---|---|
1780812099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 052233 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hartford Hospital | Hartford, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartford Healthcare Medical Group Inc | 1153573902 | 220 |
Entity Name | Mansfield Family Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265546956 PECOS PAC ID: 2961433594 Enrollment ID: O20050824000185 |
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 |
Mailing Address | Practice Location Address |
---|---|
Tatyana Divino, DO 34 Proffessional Park Rd, Storrs, CT 06268-1659 Ph: (860) 487-0002 | Tatyana Divino, DO 34 Proffessional Park Rd, Storrs, CT 06268-1659 Ph: (860) 487-0002 |
Andrea M Gutierrez, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Royce Cir Ste 104, Uconn Medical Group, Storrs, CT 06268 Phone: 860-487-9200 Fax: 860-487-9222 | |
Nelson C Walker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 34 Professional Park Rd., Storrs, CT 06268 Phone: 860-487-0002 Fax: 860-429-1663 | |
Kenneth R Dardick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34 Professional Park Rd., Storrs, CT 06268 Phone: 860-487-0002 Fax: 860-429-1663 | |
Zachary James Maass, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Royce Circle, Storrs, CT 06268 Phone: 860-487-9264 Fax: 860-487-9222 | |
Sandra M Hughes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34 Proffessional Park Rd, Storrs, CT 06268 Phone: 860-487-0002 | |
Ross L Winakor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34 Professional Park Rd., Storrs, CT 06268 Phone: 860-487-0002 Fax: 860-429-1663 |