| Eric Black, PA-C | |
|
1650 Dixwell Ave, Hamden, CT 06514-3615 | |
| (203) 288-1700 | |
| Not Available |
| Full Name | Eric Black |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1650 Dixwell Ave, Hamden, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962874792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3462 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Griffin Hospital | Derby, CT | Hospital |
| St Vincent's Medical Center | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Of Connecticut Pc | 8820390214 | 30 |
| Entity Name | Emergency Physicians of Connecticut PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902278906 PECOS PAC ID: 8820390214 Enrollment ID: O20151231000158 |
| 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 |
|---|---|
| Eric Black, PA-C 204 8th Ave, Haddon Heights, NJ 08035-1631 Ph: (609) 605-0333 | Eric Black, PA-C 1650 Dixwell Ave, Hamden, CT 06514-3615 Ph: (203) 288-1700 |
Carly Rumanoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3588 Whitney Ave, Hamden, CT 06518 Phone: 203-288-2550 |
Nina Tufaro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 925 Mix Ave Apt 1d, Hamden, CT 06514 Phone: 631-987-5439 |
Allison Marie Wick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Mount Carmel Ave, Hamden, CT 06518 Phone: 203-582-8200 |
Jessica Nursick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1952 Whitney Ave, Hamden, CT 06517 Phone: 203-848-1803 |
Marcy Ann Kesilewski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 Mount Carmel Ave Bldg 4, Hamden, CT 06518 Phone: 203-582-8545 |
Douglas A Stitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Whitney Ave, Suite 180, Hamden, CT 06518 Phone: 203-407-2500 Fax: 203-407-5812 |
Mr. Randy M Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Whitney Avenue, Suite 360, Hamden, CT 06518 Phone: 203-281-4463 Fax: 203-287-2930 |