| Paula Andrea Lucuara Revelo, MD | |
|
800 Connecticut Blvd, Uconn Medical Group, East Hartford, CT 06108 | |
| (860) 282-3859 | |
| (860) 282-8574 |
| Full Name | Paula Andrea Lucuara Revelo |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 14 Years |
| Location | 800 Connecticut Blvd, East Hartford, 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 |
|---|---|---|---|
| 1740547058 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rutgers Health-rwj Pediatric Critical Care | 1355390287 | 131 |
| Entity Name | Rutgers Health-rwj Primary Medicine Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659475283 PECOS PAC ID: 7911972674 Enrollment ID: O20040827000179 |
| Entity Name | Rutgers Health-rwj Pediatric Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518901768 PECOS PAC ID: 3779472196 Enrollment ID: O20041222000072 |
| Entity Name | Rutgers Health-rwj Pediatric Critical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780766527 PECOS PAC ID: 1355390287 Enrollment ID: O20050119000070 |
| Entity Name | Rutgers Health Rwj Primary Care Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497867410 PECOS PAC ID: 9032158761 Enrollment ID: O20050502000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Paula Andrea Lucuara Revelo, MD 800 Connecticut Blvd, Uconn Medical Group, East Hartford, CT 06108 Ph: (860) 282-3859 | Paula Andrea Lucuara Revelo, MD 800 Connecticut Blvd, Uconn Medical Group, East Hartford, CT 06108 Ph: (860) 282-3859 |
Dr. Sheikh Irfan Ahmed, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 580 Burnside Ave, Suite 4, East Hartford, CT 06108 Phone: 860-528-5068 Fax: 860-528-2341 | |
Eugene Fantl, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Ash St, East Hartford, CT 06108 Phone: 860-282-3859 Fax: 860-282-8574 | |
Dr. Jayashree Venkatesh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 893 Main St, Suite 303, East Hartford, CT 06108 Phone: 860-289-3047 Fax: 860-528-4735 | |
Dr. Latesha I Dawson Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Ash St, Uconn Medical Group-pediatrics, East Hartford, CT 06108 Phone: 860-282-3859 Fax: 860-282-8574 | |
Larry Scherzer, Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Ash St, East Hartford, CT 06108 Phone: 860-282-3859 |