Mirjana J Domakonda, MD | |
200 Retreat Ave, Hartford, CT 06106-3309 | |
(860) 545-7493 | |
Not Available |
Full Name | Mirjana J Domakonda |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 200 Retreat Ave, 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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1275853178 | NPI | - | NPPES |
1275853178 | Medicaid | CT |
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 |
Entity Name | Hartford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
Entity Name | Hartford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
Mailing Address | Practice Location Address |
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Mirjana J Domakonda, MD 200 Retreat Ave, Hartford, CT 06106-3309 Ph: (860) 545-7493 | Mirjana J Domakonda, MD 200 Retreat Ave, Hartford, CT 06106-3309 Ph: (860) 545-7493 |
Dr. Alfred Herzog, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour Street, Hartford Hospital, Hartford, CT 06102 Phone: 860-545-3501 | |
J Daane Logsdon, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 Phone: 860-545-7250 | |
Crystal Diane Salcido, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 Phone: 860-545-7064 | |
Robert F Swords, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 675 Tower Ave, Suite 301, Hartford, CT 06112 Phone: 860-714-2750 Fax: 860-714-8591 | |
Samira Savill Solomon, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Retreat Ave, Hartford Hospital Psychiatry Dept., Hartford, CT 06106 Phone: 860-545-7330 | |
Dr. Ainsley E Backman, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-545-7062 | |
Dr. Julie Elizabeth Volpe, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-808-8782 |