Theera Vachranukunkiet, MD | |
500 Chase Pkwy, Waterbury, CT 06708-3346 | |
(203) 755-6677 | |
Not Available |
Full Name | Theera Vachranukunkiet |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 500 Chase Pkwy, Waterbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679527154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | MD422006 (Pennsylvania) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 72718 (Connecticut) | Primary |
Entity Name | Einstein Practice Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728 |
Mailing Address | Practice Location Address |
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Theera Vachranukunkiet, MD 500 Chase Pkwy, Waterbury, CT 06708-3346 Ph: (203) 755-6677 | Theera Vachranukunkiet, MD 500 Chase Pkwy, Waterbury, CT 06708-3346 Ph: (203) 755-6677 |
Dr. John Joseph Gevinski, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1078 W Main St, Waterbury, CT 06708 Phone: 203-754-3100 | |
Dr. Alisa H. Darling, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 500 Chase Pkwy, Waterbury, CT 06708 Phone: 203-755-6677 Fax: 203-755-7166 | |
Nicole Taylor Perin, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 550 Chase Ave, Waterbury, CT 06704 Phone: 203-757-0100 | |
Rebecca Sauve, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 60 Westwood Ave, Suite 300, Waterbury, CT 06708 Phone: 203-755-9166 | |
Arlen I Lichter, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1320 W Main St, Bldg #2, Waterbury, CT 06708 Phone: 203-755-9355 Fax: 203-597-8192 | |
Mr. Todd Joseph Palladino, OTR/L, CLT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3396 E Main St, Waterbury, CT 06705 Phone: 203-754-2161 | |
Michelle Nisenbaum, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1320 West Main St, Bldg 2, Waterbury, CT 06708 Phone: 203-755-9355 Fax: 203-597-8192 |