| Alyssa Kanagaki Greenleaf, PA-C | |
|
462 Queen St Ste 303, Southington, CT 06489-1801 | |
| (860) 224-5672 | |
| Not Available |
| Full Name | Alyssa Kanagaki Greenleaf |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 462 Queen St Ste 303, Southington, 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 |
|---|---|---|---|
| 1861896524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 4051 (Connecticut) | Primary |
| 363AM0700X | Physician Assistant - Medical | 5169 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospital Of Central Connecticut, The | New britain, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Hospital Of Central Connecticut At New Britain General And Bradley | 6507776564 | 396 |
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1555 |
| Entity Name | The Hospital of Central Connecticut at New Britain General and Bradley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
| 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 |
| Entity Name | Hartford Healthcare Medical Group Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Kanagaki Greenleaf, PA-C 462 Queen St, Ste 303, Southington, CT 06489-1801 Ph: (413) 794-5700 | Alyssa Kanagaki Greenleaf, PA-C 462 Queen St Ste 303, Southington, CT 06489-1801 Ph: (860) 224-5672 |
Miranda Polaski, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 81 Meriden Ave, Southington, CT 06489 Phone: 860-276-5000 |
Mr. Vuong Duc Dang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 N Main St, Southington, CT 06489 Phone: 860-621-1024 |
Rebecca Davies Jeffery, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 340 N Main St, Southington, CT 06489 Phone: 860-628-5767 |
Vickie Christine Gerdon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1131 West St, Southington, CT 06489 Phone: 860-621-7682 |
Ramzia Julia Asheh, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 81 Meriden Ave, Emergency Department, Southington, CT 06489 Phone: 860-276-5000 |
Emily Amanda Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 167 Main St, Southington, CT 06489 Phone: 860-426-0252 Fax: 860-426-0458 |
Madeline Sadlowski, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 74 Hightower Rd, Southington, CT 06489 Phone: 203-859-1563 |