| Dr Igor Samegulin, MD | |
|
74 Park Rd, West Hartford, CT 06119-1853 | |
| (860) 218-1725 | |
| (860) 218-1727 |
| Full Name | Dr Igor Samegulin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 74 Park Rd, West Hartford, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255517249 | NPI | - | NPPES |
| 008023148 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 049234 (Connecticut) | Primary |
| 208M00000X | Hospitalist | 49234 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Middlesex Hospital | Middletown, CT | Hospital |
| Hartford Hospital | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Hartford Medical Center | 4284764598 | 2 |
| Middlesex Hospital | 5092611731 | 208 |
| Entity Name | Middlesex Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972563138 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000592 |
| Entity Name | West Hartford Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942533039 PECOS PAC ID: 4284764598 Enrollment ID: O20100614000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Igor Samegulin, MD 74 Park Rd, West Hartford, CT 06119-1853 Ph: (860) 218-1725 | Dr Igor Samegulin, MD 74 Park Rd, West Hartford, CT 06119-1853 Ph: (860) 218-1725 |
Batel Heather Isenstein, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 136 S Main St Fl 2, West Hartford, CT 06107 Phone: 860-313-5150 Fax: 860-231-0255 | |
Sharon Stacy Farber, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Abrahms Blvd, West Hartford, CT 06117 Phone: 860-523-3800 Fax: 860-523-3949 | |
Mrs. Jennifer Lagosz Conboy, APRN FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1216 Farmington Ave, West Hartford, CT 06107 Phone: 860-561-1007 | |
Mojdeh Heidari, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Princeton St, West Hartford, CT 06110 Phone: 860-707-5392 | |
Dr. Jeffrey R Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 445 South Main Street, West Hartford, CT 06110 Phone: 860-561-7111 Fax: 860-561-7272 | |
Dr. Alberto J Rodriguez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 N Main St Ste 112, West Hartford, CT 06117 Phone: 860-296-4022 Fax: 860-236-3002 |