| Tatyana Divino, DO | |
|
34 Proffessional Park Rd, Storrs, CT 06268-1659 | |
| (860) 487-0002 | |
| Not Available |
| Full Name | Tatyana Divino |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 34 Proffessional Park Rd, Storrs, 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 |
|---|---|---|---|
| 1780812099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 052233 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Inc | 1153573902 | 223 |
| Entity Name | Mansfield Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265546956 PECOS PAC ID: 2961433594 Enrollment ID: O20050824000185 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tatyana Divino, DO 34 Proffessional Park Rd, Storrs, CT 06268-1659 Ph: (860) 487-0002 | Tatyana Divino, DO 34 Proffessional Park Rd, Storrs, CT 06268-1659 Ph: (860) 487-0002 |
Andrea M Gutierrez, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Royce Cir Ste 104, Uconn Medical Group, Storrs, CT 06268 Phone: 860-487-9200 Fax: 860-487-9222 | |
Alif Sattar Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1244 Storrs Rd, Storrs, CT 06268 Phone: 860-456-9720 Fax: 860-487-9684 | |
Nelson C Walker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 34 Professional Park Rd., Storrs, CT 06268 Phone: 860-487-0002 Fax: 860-429-1663 | |
Kenneth R Dardick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34 Professional Park Rd., Storrs, CT 06268 Phone: 860-487-0002 Fax: 860-429-1663 | |
Zachary James Maass, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Royce Circle, Storrs, CT 06268 Phone: 860-487-9264 Fax: 860-487-9222 | |
Sandra M Hughes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34 Proffessional Park Rd, Storrs, CT 06268 Phone: 860-487-0002 | |
Ross L Winakor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34 Professional Park Rd., Storrs, CT 06268 Phone: 860-487-0002 Fax: 860-429-1663 |