| Ihor Nicholas Ponomarenko, MD | |
|
350 Seymour Ave, Suite 101, Derby, CT 06418-1336 | |
| (203) 732-3443 | |
| (203) 732-4011 |
| Full Name | Ihor Nicholas Ponomarenko |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 Years |
| Location | 350 Seymour Ave, Derby, 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 |
|---|---|---|---|
| 1568491181 | NPI | - | NPPES |
| 001415563 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 041556 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Griffin Hospital | Derby, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Griffin Faculty Physicians Inc | 7618871997 | 109 |
| Entity Name | Griffin Faculty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598755605 PECOS PAC ID: 7618871997 Enrollment ID: O20031120000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Ihor Nicholas Ponomarenko, MD 350 Seymour Ave, Suite 101, Derby, CT 06418-1336 Ph: (203) 732-3443 | Ihor Nicholas Ponomarenko, MD 350 Seymour Ave, Suite 101, Derby, CT 06418-1336 Ph: (203) 732-3443 |
Dr. Deepali Jain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Seymour Ave Ste 2, Derby, CT 06418 Phone: 203-732-3443 Fax: 855-287-1988 | |
Dr. Denise Barajas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Seymour Ave Ste 101, Derby, CT 06418 Phone: 203-732-7233 Fax: 203-732-7556 | |
Dr. Vani Savalgi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 | |
Leland J Soto Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Seymour Ave Ste 101, Derby, CT 06418 Phone: 203-732-3443 Fax: 855-287-1988 | |
Rebecca Lee Pritchard, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7325 |