| Lori J Cretella, MD | |
|
6 Devine St, North Haven, CT 06473-2195 | |
| (203) 789-6047 | |
| Not Available |
| Full Name | Lori J Cretella |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 29 Years |
| Location | 6 Devine St, North 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 |
|---|---|---|---|
| 1619934130 | NPI | - | NPPES |
| 010039546CT03 | Other | CT | ANTHEM BLUE CROSS AND BLU |
| 001395468 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 039546 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Rehabilitation Associates Inc | 8022905322 | 379 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori J Cretella, MD 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2826 Ph: (203) 789-6047 | Lori J Cretella, MD 6 Devine St, North Haven, CT 06473-2195 Ph: (203) 789-6047 |
Dr. John Jeffrey Peters, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6 Devine St Ste 2c, North Haven, CT 06473 Phone: 203-287-6100 | |
Adeniyi Fisayo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6 Devine St, Suite 2b, Yale Neurology, North Haven, CT 06473 Phone: 203-785-5602 Fax: 203-737-6375 | |
Aaron J. Roberto, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 352 State St, North Haven, CT 06473 Phone: 203-781-4600 Fax: 203-781-4624 | |
Dr. Erin Longbrake, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6 Devine St, Suite 2b, North Haven, CT 06473 Phone: 203-287-6100 Fax: 203-287-6101 | |
Katherine Anne Destefano, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6 Devine St, Suite 2b, North Haven, CT 06473 Phone: 203-287-6100 Fax: 203-287-6101 | |
Dr. David Pitt, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6 Devine St Ste 2b, North Haven, CT 06473 Phone: 203-287-6100 Fax: 203-287-6101 |