| Louis Trevisan, MD | |
|
17 Old Kings Hwy S, Suite 1-2, Darien, CT 06820-4522 | |
| (203) 655-1559 | |
| (203) 655-1914 |
| Full Name | Louis Trevisan |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 17 Old Kings Hwy S, Darien, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932132867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 031693 (Connecticut) | Primary |
| Entity Name | Alegent Creighton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033288923 PECOS PAC ID: 1850285255 Enrollment ID: O20040326000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Trevisan, MD 17 Old Kings Hwy S, Suite 1-2, Darien, CT 06820-4522 Ph: (203) 655-1559 | Louis Trevisan, MD 17 Old Kings Hwy S, Suite 1-2, Darien, CT 06820-4522 Ph: (203) 655-1559 |
Ann M Callahan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10 Corbin Dr, Suite 4, Darien, CT 06820 Phone: 203-655-0002 Fax: 203-655-0023 | |
Leo I Chaikovsky, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 17 Old Kings Hwy S, Suite 1-2, Darien, CT 06820 Phone: 203-655-1559 Fax: 203-655-1914 | |
Oscar A Gerdner, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30 Old Kings Hwy S, Darien, CT 06820 Phone: 203-349-8037 Fax: 888-751-6612 | |
Victor Patin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 17 Old Kings Hwy S, Suite 1-2, Darien, CT 06820 Phone: 203-655-1559 Fax: 203-655-1914 |