Yanet Ravelo, | |
1216 Farmington Ave Ste 202, West Hartford, CT 06107-2673 | |
(860) 236-0331 | |
Not Available |
Full Name | Yanet Ravelo |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1216 Farmington Ave Ste 202, West Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285139279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 71877 (Connecticut) | Primary |
207R00000X | Internal Medicine | 71877 (Connecticut) | Secondary |
Entity Name | Collins Medical Associates 2 Pc |
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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 |
---|---|
Yanet Ravelo, 75 Buckingham Dr, Glastonbury, CT 06033-2734 Ph: (305) 216-0746 | Yanet Ravelo, 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 | |
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 |