| Nathalie Lara, MD | |
|
400 Columbus Ave, New Haven, CT 06519-1233 | |
| (203) 503-3292 | |
| (203) 781-0276 |
| Full Name | Nathalie Lara |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 29 Years |
| Location | 400 Columbus Ave, New 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 |
|---|---|---|---|
| 1194883546 | NPI | - | NPPES |
| 004235918 | Medicaid | CT | |
| 004235900 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 044605 (Connecticut) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 044605 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathalie Lara, MD 95 Grasslands Rd, Valhalla, NY 10595-1652 Ph: (914) 909-0225 | Nathalie Lara, MD 400 Columbus Ave, New Haven, CT 06519-1233 Ph: (203) 503-3292 |
Sharon Hasbani, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 136 Sherman Ave, New Haven, CT 06511 Phone: 203-562-8071 | |
Dr. Jennifer Buenzle Dwyer, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510 Phone: 203-433-2788 Fax: 203-688-5599 | |
Neeharika Thottempudi, MBBS Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Dr. Sean Michael Pennetti, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Dr. Nancy Dian Olson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 47 Trumbull St, New Haven, CT 06510 Phone: 203-785-1898 Fax: 203-281-3707 | |
George J. Watstein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 York St, Suite 2 A, New Haven, CT 06511 Phone: 203-624-6431 Fax: 203-624-6452 | |
Dr. Sidney Hornor Phillips, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 234 Church St, Suite #300, New Haven, CT 06510 Phone: 203-865-8246 |