| Channa Perera, MD | |
|
755 Campbell Ave Ste 3, West Haven, CT 06516-3715 | |
| (203) 937-1100 | |
| (203) 937-1102 |
| Full Name | Channa Perera |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 755 Campbell Ave Ste 3, West Haven, Connecticut |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467458216 | NPI | - | NPPES |
| 00136823 | Medicaid | CT | |
| 110194409 | Other | CT | RAILROAD MEDICARE |
| 708711 | Other | CT | CONNECTICARE |
| 010036182CT01 | Other | CT | ANTHEM BLUE SHIELD |
| P1013460 | Other | CT | OXFORD |
| 2026973 | Other | CT | AETNA |
| 0V7493 | Other | CT | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036182 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Masonicare Home Health And Hospice Inc | Wallingford, CT | Hospice |
| Griffin Hospital | Derby, CT | Hospital |
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Grandview Rehabilitation And Healthcare Center | New britain, CT | Nursing home |
| Guilford House, The | Guilford, CT | Nursing home |
| Arden House | Hamden, CT | Nursing home |
| Skyview Rehab And Nursing | Wallingford, CT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Campbell Medical Services Llc | 2163586454 | 8 |
| Entity Name | Campbell Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023263589 PECOS PAC ID: 2163586454 Enrollment ID: O20090202000162 |
| Entity Name | Infinite Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20210128000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Channa Perera, MD 755 Campbell Ave Ste 3, West Haven, CT 06516-3715 Ph: (203) 937-1100 | Channa Perera, MD 755 Campbell Ave Ste 3, West Haven, CT 06516-3715 Ph: (203) 937-1100 |
Laurence Knoll, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Main Street, West Haven, CT 06516 Phone: 203-932-8080 Fax: 203-932-8388 | |
Mehran Pouresmail, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: Va Hospital,950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Dr. Judith L Meadows, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 950 Campbell Avenue, Va Connecticut Healthcare, West Haven, CT 06510 Phone: 203-932-5711 | |
Dr. Kenneth Leroy Cohen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, Emergency Room/11c, West Haven, CT 06516 Phone: 203-937-4777 Fax: 203-937-4854 | |
Gary Vincent Desir, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Parul U Gandhi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Chioma U Nwokolo Nwangwu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 385 Main Street, Suite 2, West Haven, CT 06516 Phone: 203-931-1073 Fax: 203-931-1145 |