| Amy J Miklos, PA-C | |
|
22 Westfield Ave, Ansonia, CT 06401-1158 | |
| (203) 736-9919 | |
| (203) 735-2055 |
| Full Name | Amy J Miklos |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 22 Westfield Ave, Ansonia, 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 |
|---|---|---|---|
| 1235501099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3458 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Dayton General Hospital | Dayton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington Gastroenterology Pllc | 6204194848 | 142 |
| Providence Health And Services - Washington | 2860552973 | 266 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
| Entity Name | Washington Gastroenterology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306364401 PECOS PAC ID: 6204194848 Enrollment ID: O20180103000884 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy J Miklos, PA-C 67 Maple Ave, Derby, CT 06418-1328 Ph: Not Available | Amy J Miklos, PA-C 22 Westfield Ave, Ansonia, CT 06401-1158 Ph: (203) 736-9919 |
Lidia Prusak, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Main St, Ansonia, CT 06401 Phone: 203-735-9536 |
Kristina D Labonte, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 135 Division St Ste 2, Ansonia, CT 06401 Phone: 203-308-2705 |