| Collins Medical Associates 2 Pc | |
|
95 Woodland St Fl 1 Hartford CT 06105-1230 | |
| (860) 714-7362 | |
| (860) 714-8140 |
| Full Name | Collins Medical Associates 2 Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 95 Woodland St Fl 1, Hartford, Connecticut |
| Authorized Official Name and Position | Susan Link (CHIEF FINANCIAL OFFICER-ADMINISTRAT) |
| Authorized Official Contact | 8607147362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins Medical Associates 2 Pc 95 Woodland St Fl 1 Hartford CT 06105-1230 Ph: (860) 714-7362 | Collins Medical Associates 2 Pc 95 Woodland St Fl 1 Hartford CT 06105-1230 Ph: (860) 714-7362 |
| NPI Number | 1912928169 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 02/09/2016 |
| Medicare PECOS PAC ID | 3779486345 |
|---|---|
| Medicare Enrollment ID | O20040216000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912928169 | NPI | - | NPPES |
| 50COLLIN2CT01 | Other | CT | ANTHEM BLUE SHIELD |
| 004191607 | Medicaid | CT | |
| 004239043 | Medicaid | CT | |
| 004266187 | Medicaid | CT |
| Provider Name | Yusra Anis Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992767826 PECOS PAC ID: 2668373101 Enrollment ID: I20040116000775 |
| Provider Name | Danilo Pangilinan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184691800 PECOS PAC ID: 5991780793 Enrollment ID: I20040623001425 |
| Provider Name | Elmo Villanueva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831110717 PECOS PAC ID: 5799760591 Enrollment ID: I20040623001452 |
| Provider Name | Satyarani Tallapureddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467470740 PECOS PAC ID: 7012996853 Enrollment ID: I20040715001113 |
| Provider Name | Sharon Tan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1801810668 PECOS PAC ID: 4880661495 Enrollment ID: I20040914000224 |
| Provider Name | Harini Hosain |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1801819255 PECOS PAC ID: 2769422914 Enrollment ID: I20050819000668 |
| Provider Name | Miri Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245211721 PECOS PAC ID: 9032141585 Enrollment ID: I20050906000328 |
| Provider Name | James P Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356365522 PECOS PAC ID: 0244259273 Enrollment ID: I20051118000071 |
| Provider Name | Shannon Beausoleil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942291653 PECOS PAC ID: 2961395660 Enrollment ID: I20060127000149 |
| Provider Name | Robert D Bogacki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285642611 PECOS PAC ID: 9537162656 Enrollment ID: I20060810000297 |
| Provider Name | Michele A Marek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144324229 PECOS PAC ID: 8426151655 Enrollment ID: I20070308000546 |
| Provider Name | Edwin Fierer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326062480 PECOS PAC ID: 6204928872 Enrollment ID: I20070828000088 |
| Provider Name | Ingrid Grafals |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538122262 PECOS PAC ID: 7517040850 Enrollment ID: I20080211000320 |
| Provider Name | Mark J Polatnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376562090 PECOS PAC ID: 6406929041 Enrollment ID: I20080715000860 |
| Provider Name | Jacques Mendelsohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861416703 PECOS PAC ID: 4486782679 Enrollment ID: I20100508000098 |
| Provider Name | Barbara Padilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700809837 PECOS PAC ID: 0648308833 Enrollment ID: I20100508000116 |
| Provider Name | Mark Belsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548284474 PECOS PAC ID: 6204964406 Enrollment ID: I20100510000076 |
| Provider Name | John D Papandrea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083638837 PECOS PAC ID: 8123156262 Enrollment ID: I20100511000045 |
| Provider Name | Robert Safer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659395721 PECOS PAC ID: 4385772425 Enrollment ID: I20100511000078 |
| Provider Name | Bechara Barrak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912928177 PECOS PAC ID: 1254469307 Enrollment ID: I20100511000143 |
| Provider Name | John Wenceslao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740203868 PECOS PAC ID: 9234267386 Enrollment ID: I20100511000163 |
| Provider Name | Irina Muni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215958301 PECOS PAC ID: 6305974452 Enrollment ID: I20100511000188 |
| Provider Name | Ronald Szabo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992729040 PECOS PAC ID: 5698803765 Enrollment ID: I20100511000425 |
| Provider Name | Daniel Callaghan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124032941 PECOS PAC ID: 5597893305 Enrollment ID: I20100514000122 |
| Provider Name | Susan Wiskowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881616795 PECOS PAC ID: 2668500471 Enrollment ID: I20100514000137 |
| Provider Name | Gail P Lagana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417261124 PECOS PAC ID: 8426174673 Enrollment ID: I20100925000093 |
| Provider Name | Sheila Silverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326062498 PECOS PAC ID: 0547457756 Enrollment ID: I20101214000046 |
| Provider Name | Gary Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346264413 PECOS PAC ID: 7113811605 Enrollment ID: I20110120000713 |
| Provider Name | Tyler Dewhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336153386 PECOS PAC ID: 5698735959 Enrollment ID: I20111227000130 |
| Provider Name | Charlecinth M Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700105624 PECOS PAC ID: 0547402877 Enrollment ID: I20130815000285 |
| Provider Name | Eric T Lao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801878681 PECOS PAC ID: 1557432150 Enrollment ID: I20150211001942 |
| Provider Name | Erica Jane Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649655895 PECOS PAC ID: 1355641887 Enrollment ID: I20151204001286 |
| Provider Name | Ashanee Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326467820 PECOS PAC ID: 4880914530 Enrollment ID: I20170817000021 |
| Provider Name | Mona A Chiurillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053833475 PECOS PAC ID: 7113290586 Enrollment ID: I20170906003150 |
| Provider Name | Erika Hyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164011243 PECOS PAC ID: 8224447412 Enrollment ID: I20210428002628 |
| Provider Name | Yanet Ravelo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285139279 PECOS PAC ID: 1254708761 Enrollment ID: I20221111001402 |
| Provider Name | Di Yi He |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063082923 PECOS PAC ID: 5294104774 Enrollment ID: I20221205001908 |
| Provider Name | Hannah Alina Janis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417681818 PECOS PAC ID: 8325417702 Enrollment ID: I20221206002913 |
| Provider Name | Anila Gjuzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518640127 PECOS PAC ID: 8022462084 Enrollment ID: I20230925001421 |
| Provider Name | Nency Antoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457041097 PECOS PAC ID: 4587017207 Enrollment ID: I20240130001381 |
South Park Inn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Grand St, Hartford, CT 06106 Phone: 860-550-7500 | |
Trinity Health Of New England Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Saint Francis Medical Group Inc., Hartford, CT 06105 Phone: 860-714-1325 Fax: 860-714-8078 | |
Connecticut Gi Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Seymour St, 1000, Hartford, CT 06106 Phone: 860-246-2571 Fax: 860-246-3691 | |
S Buccheri Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Franklin Ave, Hartford, CT 06114 Phone: 860-707-2798 Fax: 872-241-0517 | |
Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-249-9625 Fax: 860-808-1540 | |
Cleanslate Medical Group Of Connecticut Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Gillett St, Hartford, CT 06105 Phone: 615-425-0220 Fax: 413-727-3619 | |
Robert E. Koorse Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 4303, Hartford, CT 06105 Phone: 860-524-5083 Fax: 860-524-5085 |