| Viruet Ivelisse Md Internal Medicine Llc | |
|
153 Main St Suite 8 Manchester CT 06042-3112 | |
| (860) 432-5803 | |
| (860) 432-5803 |
| Full Name | Viruet Ivelisse Md Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 153 Main St, Manchester, Connecticut |
| Authorized Official Name and Position | Ivelisse Aubin Viruet (PHYSICIAN) |
| Authorized Official Contact | 8604325803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viruet Ivelisse Md Internal Medicine Llc 153 Main St Suite 8 Manchester CT 06042-3112 Ph: (860) 432-5803 | Viruet Ivelisse Md Internal Medicine Llc 153 Main St Suite 8 Manchester CT 06042-3112 Ph: (860) 432-5803 |
| NPI Number | 1073931648 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 04/01/2014 |
| Medicare PECOS PAC ID | 6709108012 |
|---|---|
| Medicare Enrollment ID | O20141121002284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073931648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 034410 (Connecticut) | Primary |
| Provider Name | Ivelisse A Viruet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629055249 PECOS PAC ID: 9931298791 Enrollment ID: I20091203000445 |
Vernon Manor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 W Center St, Manchester, CT 06040 Phone: 860-871-0385 | |
Jeffrey H. Katz, M.d., L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 595 Main St, Manchester, CT 06040 Phone: 860-646-1000 Fax: 860-645-1120 | |
Klipstein Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 272 Main St, Manchester, CT 06042 Phone: 860-646-8044 Fax: 860-643-4891 | |
Ali Shakibai, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Main St, Suite 205, Manchester, CT 06040 Phone: 860-649-8074 Fax: 860-647-1129 | |
Digestive Health Specialists Of Eastern Connecticut Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 353 Main St, Manchester, CT 06040 Phone: 860-649-3477 | |
Everwell Integrated Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 Fax: 866-603-4163 |