| Yanet Ravelo, | |
|
1216 Farmington Ave Ste 202, West Hartford, CT 06107-2673 | |
| (860) 236-0331 | |
| Not Available |
| Full Name | Yanet Ravelo |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1216 Farmington Ave Ste 202, West Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285139279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 71877 (Connecticut) | Primary |
| 207R00000X | Internal Medicine | 71877 (Connecticut) | Secondary |
| Entity Name | Collins Medical Associates 2 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912928169 PECOS PAC ID: 3779486345 Enrollment ID: O20040216000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Yanet Ravelo, 75 Buckingham Dr, Glastonbury, CT 06033-2734 Ph: (305) 216-0746 | Yanet Ravelo, 1216 Farmington Ave Ste 202, West Hartford, CT 06107-2673 Ph: (860) 236-0331 |
Dr. Shamsa N Shafi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 928 Farmington Ave Ste 4, West Hartford, CT 06107 Phone: 860-233-6293 | |
Dr. Susan Owen Perks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 N Main St Ste 248, West Hartford, CT 06117 Phone: 860-231-8345 Fax: 860-523-4061 | |
Dr. Jennifer S Wilner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 785 Farmington Ave, West Hartford, CT 06119 Phone: 860-523-4100 Fax: 860-523-1462 | |
Dr. Allyson N Duffy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 North Main St, Ste 248, West Hartford, CT 06117 Phone: 860-231-8453 Fax: 860-523-4061 | |
Dr. Tilak C Gooneratne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 N Main St, Ste 248, West Hartford, CT 06117 Phone: 860-231-8453 Fax: 860-523-4061 | |
Dr. Nima G Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81 S Main St, #5, West Hartford, CT 06107 Phone: 860-521-4044 |