| Amanda M Harte, PA-C | |
|
435 Lewis Ave, Meriden, CT 06451-2101 | |
| (203) 694-8200 | |
| Not Available |
| Full Name | Amanda M Harte |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 435 Lewis Ave, Meriden, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912334590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2990 (Connecticut) | Primary |
| Entity Name | Midstate Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda M Harte, PA-C 103 Hidden Valley Rd, Groton, MA 01450-2234 Ph: (978) 448-9904 | Amanda M Harte, PA-C 435 Lewis Ave, Meriden, CT 06451-2101 Ph: (203) 694-8200 |
Henry Vladyka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 Fax: 203-694-8200 |
Gabriella Rios, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8433 |
Anthony Joseph Boguslawski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 |
Sarah C Ward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 617-732-5500 |
Lindsey Dimler, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 127-493-3886 |
Hannah Mcmullen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 |
Ryan Wessels, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 |