| Regina K Stuart, MD | |
|
5 Founders St Ste 102, Willimantic, CT 06226-2050 | |
| (609) 456-2898 | |
| (609) 456-3078 |
| Full Name | Regina K Stuart |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 5 Founders St Ste 102, Willimantic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114907029 | NPI | - | NPPES |
| 200503510 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 57003 (Connecticut) | Primary |
| 208600000X | Surgery | 01061211A (Indiana) | Secondary |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200114001048 |
| Mailing Address | Practice Location Address |
|---|---|
| Regina K Stuart, MD 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 Ph: (260) 432-4400 | Regina K Stuart, MD 5 Founders St Ste 102, Willimantic, CT 06226-2050 Ph: (609) 456-2898 |
Huseyin Nail Aydin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5 Founders St Ste 102, Willimantic, CT 06226 Phone: 203-907-7227 | |
Francis Siracusa, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 90 Quarry St, Willimantic, CT 06226 Phone: 860-450-7222 | |
Mr. Leszek A Kolodziejczak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 162 Mansfield Ave., B, Willimantic, CT 06226 Phone: 860-423-5000 Fax: 860-423-4838 |