Dr Keri Ann Wallace, MD | |
282 Washington St, Ccmc, Primary Care Center, 1f, Hartford, CT 06106-3322 | |
(860) 545-9333 | |
(860) 545-9301 |
Full Name | Dr Keri Ann Wallace |
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Gender | Female |
Speciality | Pediatrics |
Location | 282 Washington St, Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1205807179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 046025 (Connecticut) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Mailing Address | Practice Location Address |
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Dr Keri Ann Wallace, MD 282 Washington St, Ccmc, Primary Care Center, 1f, Hartford, CT 06106-3322 Ph: (860) 545-9333 | Dr Keri Ann Wallace, MD 282 Washington St, Ccmc, Primary Care Center, 1f, Hartford, CT 06106-3322 Ph: (860) 545-9333 |
Dr. Irfan Ahmed Warsy, MBBS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9147 Fax: 860-545-9147 | |
James Hagadorn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-8950 Fax: 860-545-8945 | |
Craig Schramm, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9440 Fax: 860-545-9445 | |
Mrs. Catherine Clinton Wiley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington Street, Hartford, CT 06106 Phone: 860-545-9300 Fax: 860-545-9301 | |
Melissa Held, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9000 Fax: 860-545-9969 | |
Adam Silverman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9200 Fax: 860-545-9134 | |
Elke Nicole Webb, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-249-9625 Fax: 860-808-1540 |