Elisa Battistoni Hannan, DMD, MD is a
Oral & Maxillofacial Surgery based in Avon, Connecticut. Elisa Battistoni Hannan is licensed to practice in Connecticut (license number 77680) and her current practice location is
34 Dale Rd Ste 105, Avon, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 674-8079.
NPI number for Elisa Battistoni Hannan is 1114420676 and her current mailing address is 34 Dale Rd Ste 105, Avon, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114420676.
Healthcare Provider's Profile
| Full Name | Elisa Battistoni Hannan |
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| Gender | Female |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 34 Dale Rd Ste 105, Avon, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114420676
- Provider Enumeration Date: 03/12/2018
- Last Update Date: 09/16/2025
Medical Identifiers
Medical identifiers for Elisa Battistoni Hannan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114420676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13976 (Connecticut) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 77680 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elisa Battistoni Hannan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Elisa Battistoni Hannan, DMD, MD 34 Dale Rd Ste 105, Avon, CT 06001-3659 Ph: (860) 674-8079 | Elisa Battistoni Hannan, DMD, MD 34 Dale Rd Ste 105, Avon, CT 06001-3659 Ph: (860) 674-8079 |
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