| Dr Ralph Wayne Denatale, MD | |
|
280 State St, North Haven, CT 06473-2132 | |
| (203) 288-2886 | |
| (203) 288-2576 |
| Full Name | Dr Ralph Wayne Denatale |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 47 Years |
| Location | 280 State St, North Haven, 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 |
|---|---|---|---|
| 1497790026 | NPI | - | NPPES |
| 001271998 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 027199 (Connecticut) | Primary |
| 208D00000X | General Practice | 027199 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midstate Medical Center | Meriden, CT | Hospital |
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Vascular Center Pc | 7810953106 | 5 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Entity Name | Connecticut Vascular Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558494575 PECOS PAC ID: 7810953106 Enrollment ID: O20041208000691 |
| 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 Ralph Wayne Denatale, MD 280 State St, North Haven, CT 06473-2132 Ph: (203) 288-2886 | Dr Ralph Wayne Denatale, MD 280 State St, North Haven, CT 06473-2132 Ph: (203) 288-2886 |
Dr. Brian W Coyle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 280 State St, North Haven, CT 06473 Phone: 203-288-2886 | |
Dr. Antoine M Ferneini, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 280 State St, North Haven, CT 06473 Phone: 203-288-2886 Fax: 203-288-2576 | |
Dr. Ross David Segan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 60 Middletown Ave, Covidien Surgical Devices - Medical Affairs, North Haven, CT 06473 Phone: 203-492-7250 |