| Amy Cimminello, PA-C | |
|
75 Kings Highway Cutoff Ste 4b, Fairfield, CT 06824-5340 | |
| (844) 482-7285 | |
| Not Available |
| Full Name | Amy Cimminello |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 75 Kings Highway Cutoff Ste 4b, Fairfield, 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 |
|---|---|---|---|
| 1619244043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 001330 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | 001330 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Connecticut Vascular Center Llc | 8527951532 | 32 |
| Entity Name | Southern Connecticut Vascular Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033318175 PECOS PAC ID: 8527951532 Enrollment ID: O20040204000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Cimminello, PA-C 6 Research Dr Ste 105, Shelton, CT 06484-6228 Ph: (203) 210-6340 | Amy Cimminello, PA-C 75 Kings Highway Cutoff Ste 4b, Fairfield, CT 06824-5340 Ph: (844) 482-7285 |
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