| Dr Theddeus Iheanacho, MD | |
|
203 Broad St, Suite C-4, Milford, CT 06460-4751 | |
| (203) 874-0593 | |
| (203) 877-8053 |
| Full Name | Dr Theddeus Iheanacho |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 27 Years |
| Location | 203 Broad St, Milford, 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 |
|---|---|---|---|
| 1922312503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 258158 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 49777 (Connecticut) | Primary |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | Charter Oak Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992750855 PECOS PAC ID: 3870401078 Enrollment ID: O20040220000909 |
| Entity Name | Silver Hill Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982658035 PECOS PAC ID: 8628039393 Enrollment ID: O20041026000195 |
| Entity Name | St. Vincent's Multispecialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
| Entity Name | Living Spring Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043584535 PECOS PAC ID: 7416187976 Enrollment ID: O20140228000589 |
| 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 |
| Entity Name | Living Spring Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730549759 PECOS PAC ID: 1557888518 Enrollment ID: O20250505000724 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theddeus Iheanacho, MD 203 Broad St, Suite C-4, Milford, CT 06460-4751 Ph: (203) 874-0593 | Dr Theddeus Iheanacho, MD 203 Broad St, Suite C-4, Milford, CT 06460-4751 Ph: (203) 874-0593 |
Christine Elaine Desmond, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 949 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 | |
Dr. Ubong Jackson Udoyen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 58 Augusta Dr, Milford, CT 06461 Phone: 803-269-7381 | |
Dr. Howard Feldman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 16 Rock Rd, Milford, CT 06460 Phone: 203-874-0895 | |
Terrell David Holloway, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 472 Wheelers Farms Rd Ste 306, Milford, CT 06461 Phone: 203-701-9737 | |
Donna W Klimowicz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 949 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 | |
Lisa Harding, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 472 Wheelers Farms Rd Ste 306, Milford, CT 06461 Phone: 563-676-8923 Fax: 859-545-5013 | |
James E Phillips, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 88 Noble Avenue, Milford, CT 06460 Phone: 203-877-0566 |