| Courtney G Moller, PA | |
|
950 Campbell Ave, Gec240, West Haven, CT 06516-2770 | |
| (203) 932-5711 | |
| Not Available |
| Full Name | Courtney G Moller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 950 Campbell Ave, West Haven, 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 |
|---|---|---|---|
| 1043467855 | NPI | - | NPPES |
| PA3371 | Other | MA | LICENSE |
| 002124 | Other | CT | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brigham And Women's Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dana-farber Cancer Institute, Inc. | 9133038904 | 671 |
| Entity Name | Dana-farber Cancer Institute, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346433257 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000142 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney G Moller, PA 950 Campbell Ave, Gec 240, West Haven, CT 06516-2770 Ph: (203) 932-5711 | Courtney G Moller, PA 950 Campbell Ave, Gec240, West Haven, CT 06516-2770 Ph: (203) 932-5711 |
Stephan Anton Bayer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 205 Elm St Apt 5, West Haven, CT 06516 Phone: 719-287-6053 |
Marian Campbell-gethers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Cellini Pl Ste 102, West Haven, CT 06516 Phone: 203-932-6481 Fax: 203-932-4051 |
Mr. Peter Francis Lazzarotti, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 |
Kaitlin Coyle, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 286 Richmond Ave, West Haven, CT 06516 Phone: 203-824-8091 |
Ms. Tzipporah Jael Vannorman, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 Campbell Ave, Unit T3w, West Haven, CT 06516 Phone: 203-932-5711 |
William Hoffman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 Campbell Ave, West Haven, CT 06516 Phone: 203-503-3000 |
Susan Hassan, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1 Cellini Pl Ste 102, West Haven, CT 06516 Phone: 203-932-6481 |