| Dr Johanna Lasala, MD | |
|
240 Indian River Rd, Bld A Ste 1, Orange, CT 06477-3649 | |
| (203) 795-1664 | |
| (203) 795-1665 |
| Full Name | Dr Johanna Lasala |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 36 Years |
| Location | 240 Indian River Rd, Orange, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932148848 | NPI | - | NPPES |
| 001351436 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 035143 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yale University | 9436061736 | 2389 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johanna Lasala, MD 240 Indian River Rd, Bld A Ste 1, Orange, CT 06477-3649 Ph: (203) 795-1664 | Dr Johanna Lasala, MD 240 Indian River Rd, Bld A Ste 1, Orange, CT 06477-3649 Ph: (203) 795-1664 |
Nataliia Dyatlova, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 235 Boston Post Rd Ste 202, Orange, CT 06477 Phone: 203-799-1252 Fax: 203-799-3252 | |
Jeffrey Reynolds, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 235 Boston Post Rd Ste 202, Orange, CT 06477 Phone: 203-799-1252 Fax: 203-799-3252 | |
Beth Ann Valashinas, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 250 Indian River Rd Ste 300, Orange, CT 06477 Phone: 203-713-5500 Fax: 203-868-0058 | |
Gordon Spencer Hill, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 779 Deer Run Ln, Orange, CT 06477 Phone: 475-223-0516 | |
Dr. Peter Yenlung Chuang, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 235 Boston Post Rd Ste 202, Orange, CT 06477 Phone: 203-799-1252 Fax: 203-799-3252 | |
Dr. Kelsey Thompson Martin, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 240 Indian River Rd Ste A1, Orange, CT 06477 Phone: 203-795-1664 | |
Hannah Gold Hill, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 779 Deer Run Ln, Orange, CT 06477 Phone: 475-223-0516 Fax: 412-612-2892 |