| Elizabeth A Tillman, MD | |
|
1 Cellini Pl Ste 102, West Haven, CT 06516-1666 | |
| (203) 932-6481 | |
| (203) 932-4051 |
| Full Name | Elizabeth A Tillman |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 1 Cellini Pl Ste 102, West Haven, 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 |
|---|---|---|---|
| 1326014630 | NPI | - | NPPES |
| 010043227CT01 | Other | CT | BLUE CROSS |
| 001432278 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 43227 (Connecticut) | Primary |
| 208M00000X | Hospitalist | 043227 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Middlesex Hospital | Middletown, CT | Hospital |
| The Hospital Of Central Connecticut | New britain, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Middlesex Hospital | 5092611731 | 208 |
| The Hospital Of Central Connecticut At New Britain General And Bradley | 6507776564 | 355 |
| 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 | The Hospital Of Connecticut At New Britain And Bradley Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
| Entity Name | Midstate Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Tillman, MD 1 Cellini Pl Ste 102, West Haven, CT 06516-1666 Ph: (203) 932-6481 | Elizabeth A Tillman, MD 1 Cellini Pl Ste 102, West Haven, CT 06516-1666 Ph: (203) 932-6481 |
Laurence Knoll, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Main Street, West Haven, CT 06516 Phone: 203-932-8080 Fax: 203-932-8388 | |
Mehran Pouresmail, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: Va Hospital,950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Dr. Judith L Meadows, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 950 Campbell Avenue, Va Connecticut Healthcare, West Haven, CT 06510 Phone: 203-932-5711 | |
Dr. Kenneth Leroy Cohen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, Emergency Room/11c, West Haven, CT 06516 Phone: 203-937-4777 Fax: 203-937-4854 | |
Gary Vincent Desir, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Parul U Gandhi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Chioma U Nwokolo Nwangwu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 385 Main Street, Suite 2, West Haven, CT 06516 Phone: 203-931-1073 Fax: 203-931-1145 |