| Reedada S Idriss, MD | |
|
24 Hospital Ave, Danbury, CT 06810-6099 | |
| (203) 739-7000 | |
| Not Available |
| Full Name | Reedada S Idriss |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 24 Hospital Ave, Danbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629280995 | NPI | - | NPPES |
| 297122100 | Medicaid | MN | |
| 35174100 | Medicaid | WI | |
| ENROLLED | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 49753 (Minnesota) | Secondary |
| 207P00000X | Emergency Medicine | 047400 (Connecticut) | Primary |
| Entity Name | Danbury Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548293343 PECOS PAC ID: 1557273935 Enrollment ID: O20031104000476 |
| Entity Name | Nuvance Health Medical Practice Ct Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130 |
| Entity Name | Norwalk Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427041581 PECOS PAC ID: 3375436660 Enrollment ID: O20040202000988 |
| Entity Name | North Shore Lij Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20240402003208 |
| Mailing Address | Practice Location Address |
|---|---|
| Reedada S Idriss, MD 5120 Duvall Pl Nw, Rochester, MN 55901-3821 Ph: (507) 287-1831 | Reedada S Idriss, MD 24 Hospital Ave, Danbury, CT 06810-6099 Ph: (203) 739-7000 |
Dr. Andrew Caligiuri, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000 | |
Jacob Bartel Lotstein, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7100 | |
Dr. Cooper Roy Swenson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Hospital Ave Fl 6, Danbury, CT 06810 Phone: 203-739-7000 | |
Dr. Andrew L. Webber, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury Hospital - Dept. Of Emergency Medicine, Danbury, CT 06810 Phone: 203-739-7101 Fax: 203-739-8049 | |
James Lunan, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-797-7100 | |
Dr. Benjamin Lawrence Kliot, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7447 | |
Dr. Samuel Jones Ii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Hospital Ave, Danbury Hospital, Danbury, CT 06810 Phone: 203-739-7000 |