| Suphichaya Muangman, MD | |
|
1625 Straits Tpke, Suite 209, Middlebury, CT 06762-1836 | |
| (203) 758-9100 | |
| (203) 758-9400 |
| Full Name | Suphichaya Muangman |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 30 Years |
| Location | 1625 Straits Tpke, Middlebury, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245398619 | NPI | - | NPPES |
| 001434406 | Medicaid | CT | |
| 010043440CT02 | Other | CT | ANTHEM BCBS CT |
| 3V0829 | Other | CT | HEALTHNET/COMMERCIAL |
| 518685 | Other | CT | WELLCARE |
| 1105253 | Other | CT | USA |
| P00796456 | Other | CT | RR MEDICARE |
| P3941581 | Other | CT | OXFORD |
| 043440 | Other | CT | CONNECTICARE |
| 001153600 | Medicaid | CT | |
| 25-33213 | Other | CT | AMERICHOICE |
| 7085716 | Other | CT | AETNA |
| 25-33213 | Other | CT | UHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 043440 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Mary's Hospital | Waterbury, CT | Hospital |
| Waterbury Hospital | Waterbury, CT | Hospital |
| St Francis Hospital & Medical Center | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | Naugatuck Valley Cardiovascular Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881721900 PECOS PAC ID: 0244339059 Enrollment ID: O20070620000102 |
| Entity Name | Prospect Waterbury Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477902641 PECOS PAC ID: 4688967581 Enrollment ID: O20161004000255 |
| Mailing Address | Practice Location Address |
|---|---|
| Suphichaya Muangman, MD 1625 Straits Tpke, Suite 209, Middlebury, CT 06762-1836 Ph: (203) 758-9100 | Suphichaya Muangman, MD 1625 Straits Tpke, Suite 209, Middlebury, CT 06762-1836 Ph: (203) 758-9100 |
Sina Raissi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 850 Straits Tpke, Middlebury, CT 06762 Phone: 203-758-1800 Fax: 203-758-1804 | |
David A Roer, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 850 Straits Tpke, Middlebury, CT 06762 Phone: 203-758-1800 Fax: 203-758-1804 | |
Mira Rho, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 850 Straits Tpke, Suite 102, Middlebury, CT 06762 Phone: 203-758-1800 Fax: 203-758-1804 | |
Gregory K. Buller, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 850 Straits Tpke, Middlebury, CT 06762 Phone: 203-758-1800 Fax: 203-758-1804 | |
Jonathan D Parkhurst, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1625 Straits Tpke Ste 110, Middlebury, CT 06762 Phone: 203-758-8107 Fax: 203-575-5225 | |
Dr. Jane D Cooper, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1625 Straits Tpke, Suite #301, Middlebury, CT 06762 Phone: 203-573-7281 Fax: 203-573-7230 |