| Shanta Shepherd, MD, | |
|
19 Woodland St Ste 23, Hartford, CT 06105-2368 | |
| (860) 522-2251 | |
| Not Available |
| Full Name | Shanta Shepherd |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 9 Years |
| Location | 19 Woodland St Ste 23, 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 |
|---|---|---|---|
| 1174986756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 68747 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norwalk Hospital | Norwalk, CT | Hospital |
| St Francis Hospital & Medical Center | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nuvance Health Medical Practice Ct Inc | 4789597691 | 694 |
| Prime Healthcare, Pc | 6709787930 | 62 |
| 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 | Prime Healthcare, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184819302 PECOS PAC ID: 6709787930 Enrollment ID: O20040121000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanta Shepherd, MD, 88 E Newton St, C515, Boston, MA 02118-2308 Ph: () - | Shanta Shepherd, MD, 19 Woodland St Ste 23, Hartford, CT 06105-2368 Ph: (860) 522-2251 |
Dr. Jeffrey H Morgenstern, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St, Ste 416, Hartford, CT 06106 Phone: 860-947-8500 Fax: 860-524-8643 | |
Katherine S. Rhee, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St, Suite 416, Hartford, CT 06106 Phone: 860-947-8500 Fax: 860-524-8643 | |
Dr. Rafael Wurzel, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St Ste 416, Hartford Healthcare Medical Group, Hartford, CT 06106 Phone: 860-947-8500 Fax: 860-524-8643 | |
Dr. Bert B Berlin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St, Suite 416, Hartford, CT 06106 Phone: 860-947-8500 Fax: 860-524-8643 | |
G Thomas Trono Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 19 Woodland St, Suite 23, Hartford, CT 06105 Phone: 860-522-2251 | |
Dr. Arthur Edgar Tarantino, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St, Ste 416, Hartford, CT 06106 Phone: 860-947-8500 Fax: 860-524-8643 |