| Visavis Health Care Medical Group Of Ct Llc | |
|
1 Emily Way West Hartford CT 06107-3136 | |
| (718) 534-0689 | |
| Not Available |
| Full Name | Visavis Health Care Medical Group Of Ct Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Emily Way, West Hartford, Connecticut |
| Authorized Official Name and Position | Rekha Bhandari (OWNER) |
| Authorized Official Contact | 7185340689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visavis Health Care Medical Group Of Ct Llc 250 Skillman St Ste 204 Brooklyn NY 11205-1218 Ph: (718) 534-0689 | Visavis Health Care Medical Group Of Ct Llc 1 Emily Way West Hartford CT 06107-3136 Ph: (718) 534-0689 |
| NPI Number | 1275225864 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Medicare PECOS PAC ID | 1355700170 |
|---|---|
| Medicare Enrollment ID | O20230711001913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275225864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica Palozie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881901742 PECOS PAC ID: 6305018045 Enrollment ID: I20110930000486 |
| Provider Name | Lily Ruan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306997291 PECOS PAC ID: 7911220975 Enrollment ID: I20190524001094 |
| Provider Name | Susan Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396031555 PECOS PAC ID: 0840457982 Enrollment ID: I20220124000423 |
| Provider Name | Rekha Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023035466 PECOS PAC ID: 6406748235 Enrollment ID: I20220210001459 |
| Provider Name | Mariama Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20230711002667 |
| Provider Name | Marie Perkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356686059 PECOS PAC ID: 9931340908 Enrollment ID: I20230726000391 |
| Provider Name | Jessica Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20230803001817 |
| Provider Name | Deirdre Giguere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578957288 PECOS PAC ID: 4587984034 Enrollment ID: I20230803001941 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20230901002586 |
| Provider Name | Jenni Crossley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700393816 PECOS PAC ID: 3870853716 Enrollment ID: I20230915001408 |
| Provider Name | Elizabeth O'doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720397755 PECOS PAC ID: 2264652601 Enrollment ID: I20230926001322 |
| Provider Name | Walettra Charmese Enoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669941027 PECOS PAC ID: 2365875341 Enrollment ID: I20231019002911 |
| Provider Name | Theresa O Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043529597 PECOS PAC ID: 1951583905 Enrollment ID: I20231121003104 |
| Provider Name | Monifa Thelwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629734298 PECOS PAC ID: 7113227133 Enrollment ID: I20231220002699 |
| Provider Name | Njideka Ikeakor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790111557 PECOS PAC ID: 5294950176 Enrollment ID: I20240213000641 |
| Provider Name | Jennifer Cavage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245209824 PECOS PAC ID: 1850369638 Enrollment ID: I20240402001817 |
| Provider Name | Tiffany Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831842202 PECOS PAC ID: 0749666345 Enrollment ID: I20240416002906 |
| Provider Name | Jasmine Cenat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326600131 PECOS PAC ID: 9638501802 Enrollment ID: I20240417003312 |
| Provider Name | Natalya Coles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801317623 PECOS PAC ID: 4486917036 Enrollment ID: I20240515000305 |
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