Chin Cheng Tai, | |
220 Main St S Ste 207, Southbury, CT 06488-2275 | |
(860) 590-9592 | |
(860) 413-0963 |
Full Name | Chin Cheng Tai |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 220 Main St S Ste 207, Southbury, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417300112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 307846 (New York) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 9385 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Griffin Hospital | Derby, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Impact Health Pc | 0941562664 | 46 |
Entity Name | Impact Health Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315 |
Mailing Address | Practice Location Address |
---|---|
Chin Cheng Tai, 58 Overton Farm Rd, Southbury, CT 06488-2403 Ph: (917) 434-1674 | Chin Cheng Tai, 220 Main St S Ste 207, Southbury, CT 06488-2275 Ph: (860) 590-9592 |
Reba Goodrow, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pomperaug Office Park Ste 102&103, Southbury, CT 06488 Phone: 203-558-1143 | |
Mrs. Kelli Ann Bernier, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Pomperaug Office Park Ste 102, Southbury, CT 06488 Phone: 203-558-1143 | |
Ms. Gerde B Francklin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 Phone: 203-262-4200 | |
Ceri England Burke, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Depot Hill Rd, Southbury, CT 06488 Phone: 866-389-2727 | |
Nicole L Martin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Quaker Farms Rd Ste 1, Southbury, CT 06488 Phone: 203-262-9300 Fax: 203-264-2696 | |
Dr. Catherine G Winkler, PHD, MPH, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Old Waterbury Rd, Southbury, CT 06488 Phone: 203-262-4200 Fax: 203-264-1534 | |
Katelyn Elaine Reynolds, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Old Waterbury Rd, Southbury, CT 06488 Phone: 475-289-4827 |