| Jorge L Diez, MD | |
|
893 Main St Ste 202, East Hartford, CT 06108-2293 | |
| (860) 247-2137 | |
| (860) 728-0480 |
| Full Name | Jorge L Diez |
|---|---|
| Gender | Male |
| Speciality | Endocrinology |
| Experience | 35 Years |
| Location | 893 Main St Ste 202, East Hartford, 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 |
|---|---|---|---|
| 1316940463 | NPI | - | NPPES |
| 001425330 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 042533 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital & Medical Center | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Healthcare, Pc | 6709787930 | 62 |
| Entity Name | Prime Healthcare, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184819302 PECOS PAC ID: 6709787930 Enrollment ID: O20040121000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge L Diez, MD 30 Jordan Ln, Wethersfield, CT 06109-1278 Ph: (860) 263-0253 | Jorge L Diez, MD 893 Main St Ste 202, East Hartford, CT 06108-2293 Ph: (860) 247-2137 |
Mrs. Vivien A Iloeje, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 Fax: 860-290-4142 | |
Dr. Anil K Vithala, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 477 Connecticut Blvd, Suite 112, East Hartford, CT 06108 Phone: 860-289-0623 | |
Dr. Sukhwant Singh Sethi, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 477 Connecticut Blvd, 304, East Hartford, CT 06108 Phone: 860-289-9376 | |
Dr. Lillian Overman, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 144 Main St, East Hartford, CT 06118 Phone: 860-918-0069 | |
Niko Broodie-murray, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 800 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-282-3894 Fax: 860-282-8582 | |
Dr. Fielding Johnson Iii, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 893 Main St Ste 202, East Hartford, CT 06108 Phone: 860-528-4124 Fax: 860-282-1213 |