| Dr James T Belisle, MD | |
|
24 Stevens St, Norwalk, CT 06850-3852 | |
| (203) 855-3683 | |
| (203) 952-3413 |
| Full Name | Dr James T Belisle |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 24 Stevens St, Norwalk, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679543136 | NPI | - | NPPES |
| 010029963CT02 | Other | CT | ANTHEM B/C |
| OV8255 | Other | CT | HEALTHNET |
| 001299636 | Medicaid | CT | |
| 722078 | Other | CT | CONNECTICARE |
| 7142170 | Other | CT | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 029963 (Connecticut) | Primary |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James T Belisle, MD 24 Stevens St, Norwalk, CT 06850-3852 Ph: (203) 855-3683 | Dr James T Belisle, MD 24 Stevens St, Norwalk, CT 06850-3852 Ph: (203) 855-3683 |
Jennifer I Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 Cross St, Suite 300, Norwalk, CT 06851 Phone: 203-229-2000 Fax: 203-840-9001 | |
Jeanne M Marconi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 Cross St, Suite 300, Norwalk, CT 06851 Phone: 203-229-2029 Fax: 203-840-9055 | |
Libia Rueda-matik, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 148 East Avenue, Suite #1l, Norwalk, CT 06851 Phone: 203-854-6993 Fax: 203-854-9227 | |
Dr. Sarah Siegel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 Connecticut Ave, Norwalk, CT 06854 Phone: 203-899-1770 Fax: 203-899-1769 | |
Dr. Stephen Grevious, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7 Park St, Norwalk, CT 06851 Phone: 203-840-7566 Fax: 203-840-7569 | |
Clare Cardo Mckegney, DNP-APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 761 Main Ave, Norwalk, CT 06851 Phone: 203-229-2000 Fax: 203-840-9001 | |
Catherine T Ford, M.D., FAAP Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10 Mott Avenue 4th Floor, Norwalk, CT 06850 Phone: 203-855-7551 Fax: 203-855-7624 |