Yale Podiatry Group | |
364 E Main St, Ansonia, CT 06401-1904 | |
(203) 734-4806 | |
(203) 734-8265 |
Full Name | Yale Podiatry Group |
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Type | Facility |
Speciality | Podiatrist |
Location | 364 E Main St, Ansonia, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689841520 | NPI | - | NPPES |
004020517 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 000678 (Connecticut) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | 000678 (Connecticut) | Secondary |
Provider Name | Michael S Travisano |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1801807953 PECOS PAC ID: 1052486362 Enrollment ID: I20080821000281 |
Provider Name | Luke C Jeffries |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1639360381 PECOS PAC ID: 8921196411 Enrollment ID: I20111108000568 |
Mailing Address | Practice Location Address |
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Yale Podiatry Group 364 E Main St, Ansonia, CT 06401-1904 Ph: (203) 734-4806 | Yale Podiatry Group 364 E Main St, Ansonia, CT 06401-1904 Ph: (203) 734-4806 |
Yale Podiatry Group Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 364 E Main St, Yale Podiatry Group Pc, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 | |
Jeffrey F Yale, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 364 E Main St, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 | |
Michael S Travisano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 364 E Main St, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 |