| Nicolas Andrea, MD | |
|
2800 Main St, Bridgeport, CT 06606-4201 | |
| (475) 210-5604 | |
| Not Available |
| Full Name | Nicolas Andrea |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2800 Main St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366023533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MT222257 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | 80462 (Connecticut) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Gslpg, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolas Andrea, MD 1290 Silas Deane Hwy, Hhc-cvo, Wethersfield, CT 06109 Ph: () - | Nicolas Andrea, MD 2800 Main St, Bridgeport, CT 06606-4201 Ph: (475) 210-5604 |
Austin Buchla, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Dr. Tanya Dhiren Shah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Dr. Kevin J Sprague Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Emergency Department, Bridgeport, CT 06606 Phone: 203-576-5604 | |
Alexander Fleming-nouri, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Sally Syaunan Chao, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 Main St, St. Vincent Medical Center, Bridgeport, CT 06606 Phone: 203-576-5177 | |
Kimberly Anne Reade, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Emergency Department, Bridgeport, CT 06606 Phone: 203-576-5604 | |
Dr. Jonathan Maisel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490 |