| Alexandr Tarasyuk, PA | |
|
2800 Tamarack Ave Ste 106, South Windsor, CT 06074-5553 | |
| (860) 644-5900 | |
| (860) 644-5978 |
| Full Name | Alexandr Tarasyuk |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2800 Tamarack Ave Ste 106, South Windsor, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427337385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2785 (Connecticut) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA4219 (Massachusetts) | Secondary |
| Entity Name | Northeast Emergency Medicine Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982889598 PECOS PAC ID: 8729157797 Enrollment ID: O20080516000028 |
| Entity Name | Vipul Dua MD LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033548029 PECOS PAC ID: 5294966446 Enrollment ID: O20140401001058 |
| Entity Name | Prospect Ct Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
| Entity Name | Prospect Manchester Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
| Entity Name | Nems PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114482882 PECOS PAC ID: 2466792833 Enrollment ID: O20190321000650 |
| Entity Name | Emergency Care Services of Connecticut PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518519461 PECOS PAC ID: 0042541229 Enrollment ID: O20191021000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandr Tarasyuk, PA 99 E River Dr Fl 5, East Hartford, CT 06108-7301 Ph: Not Available | Alexandr Tarasyuk, PA 2800 Tamarack Ave Ste 106, South Windsor, CT 06074-5553 Ph: (860) 644-5900 |
Mrs. Lori Ann Bryon, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2701 Tamarack Ave, South Windsor, CT 06074 Phone: 860-647-8282 Fax: 860-647-8399 |
Debra R Strigun, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1340 Sullivan Ave, South Windsor, CT 06074 Phone: 860-644-1521 Fax: 860-644-3335 |
Kimberly Rogoz, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 73 Cinnamon Spgs, South Windsor, CT 06074 Phone: 860-462-5501 |
Ms. Barbara J Emery, APRN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 435 Buckland Rd, South Windsor, CT 06074 Phone: 860-803-9005 |
Alok Mehta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Oakland Rd, South Windsor, CT 06074 Phone: 860-644-5628 |
Ms. Beth A Lemek, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2400 Tamarack Ave, Suite 101, South Windsor, CT 06074 Phone: 860-644-4442 Fax: 860-644-1412 |
Jayme Marie Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Tamarack Ave, Suite 104, South Windsor, CT 06074 Phone: 860-648-4480 Fax: 860-648-2132 |