| Park Avenue Medical | |
|
85 Barnes Rd Ste 202 Wallingford CT 06492 | |
| (203) 309-0070 | |
| (203) 309-0071 |
| Full Name | Park Avenue Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 85 Barnes Rd Ste 202, Wallingford, Connecticut |
| Authorized Official Name and Position | Anace Said (BUSINESS OWNER) |
| Authorized Official Contact | 2033090070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Medical 85 Barnes Rd Ste 202 Wallingford CT 06492 Ph: (203) 309-0070 | Park Avenue Medical 85 Barnes Rd Ste 202 Wallingford CT 06492 Ph: (203) 309-0070 |
| NPI Number | 1740546399 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 06/20/2022 |
| Medicare PECOS PAC ID | 8123280443 |
|---|---|
| Medicare Enrollment ID | O20120503000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740546399 | NPI | - | NPPES |
| 008002162 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 044791 (Connecticut) | Primary |
| Provider Name | Anace H Said |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487696910 PECOS PAC ID: 7214954429 Enrollment ID: I20070123000353 |
| Provider Name | Ursula L Hoxie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477929420 PECOS PAC ID: 7416265285 Enrollment ID: I20150928001166 |
| Provider Name | Susan Mary Paxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710455316 PECOS PAC ID: 5092050591 Enrollment ID: I20190102001133 |
| Provider Name | Hilary Caitlin Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528692480 PECOS PAC ID: 8820426935 Enrollment ID: I20200323002738 |
| Provider Name | Chelsea Ann Sondak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265003826 PECOS PAC ID: 0345645701 Enrollment ID: I20210823002458 |
| Provider Name | Alexandria Rose Viscosi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881338275 PECOS PAC ID: 1850778523 Enrollment ID: I20220518001988 |
Complete Wound Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 67 Masonic Ave Ste 2400, Wallingford, CT 06492 Phone: 203-408-2462 | |
Regenerise Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Church St, Wallingford, CT 06492 Phone: 860-994-7339 | |
Bennett Family Chiropractic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 Yale Ave, Suite 29, Wallingford, CT 06492 Phone: 203-793-7147 Fax: 203-793-7214 | |
Adult Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 N Main St Ext, Bldg 2 Suite C2, Wallingford, CT 06492 Phone: 203-269-9778 Fax: 203-949-1544 | |
Reza Moien Md Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 N Main Street Ext, Building#1, Suite D2, Wallingford, CT 06492 Phone: 203-265-0298 Fax: 203-265-0361 | |
Equal Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Center Street, Suite 2a, Wallingford, CT 06492 Phone: 203-679-0055 Fax: 203-679-0060 | |
Mwl-wallingford Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1243 S Broad St, Wallingford, CT 06492 Phone: 203-446-4555 |