| Tatjana Barisic-dujmovic, | |
|
1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | |
| (203) 781-4600 | |
| (203) 781-4624 |
| Full Name | Tatjana Barisic-dujmovic |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1 Long Wharf Dr Ste 321, New Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922329325 | NPI | - | NPPES |
| 004025029 | Medicaid | CT | |
| 004041000 | Medicaid | CT | |
| 004025177 | Medicaid | CT | |
| 008003745 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 51117 (Connecticut) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tatjana Barisic-dujmovic, 1 Long Wharf Dr, New Haven, CT 06511-5991 Ph: (203) 781-4600 | Tatjana Barisic-dujmovic, 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 Ph: (203) 781-4600 |
Sharon Hasbani, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 136 Sherman Ave, New Haven, CT 06511 Phone: 203-562-8071 | |
Dr. Jennifer Buenzle Dwyer, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510 Phone: 203-433-2788 Fax: 203-688-5599 | |
Neeharika Thottempudi, MBBS Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Dr. Sean Michael Pennetti, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Dr. Nancy Dian Olson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 47 Trumbull St, New Haven, CT 06510 Phone: 203-785-1898 Fax: 203-281-3707 | |
George J. Watstein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 York St, Suite 2 A, New Haven, CT 06511 Phone: 203-624-6431 Fax: 203-624-6452 | |
Dr. Sidney Hornor Phillips, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 234 Church St, Suite #300, New Haven, CT 06510 Phone: 203-865-8246 |