| Peter Rogers, | |
|
153 Hazard Ave, Enfield, CT 06082-4592 | |
| (860) 253-5020 | |
| (860) 253-5030 |
| Full Name | Peter Rogers |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 153 Hazard Ave, Enfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548689938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Prospect Rockville Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205283538 PECOS PAC ID: 4880988211 Enrollment ID: O20160913001880 |
| Entity Name | Prospect Manchester Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Rogers, 995 Day Hill Rd, Windsor, CT 06095-1722 Ph: (860) 731-5522 | Peter Rogers, 153 Hazard Ave, Enfield, CT 06082-4592 Ph: (860) 253-5020 |
Shaliar Drew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 Fax: 860-253-5030 | |
Francesca Nicole Porter, LADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Burnham St, Enfield, CT 06082 Phone: 774-571-5193 | |
Meiline Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 Fax: 860-253-5030 | |
Francis May, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Elm St, Suite 204, Enfield, CT 06082 Phone: 860-741-3001 Fax: 860-741-8332 | |
Monica E Crimmins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 877-884-3571 Fax: 860-731-5536 | |
Heidi Schuman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 Barbara Jean Dr, Enfield, CT 06082 Phone: 518-424-6719 | |
Melissa Reale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47 Palomba Dr, Enfield, CT 06082 Phone: 860-253-5020 Fax: 860-253-5030 |