| Kyle Mccormack, PA-C | |
|
1 Cellini Pl Ste 102, West Haven, CT 06516-1666 | |
| (203) 932-6481 | |
| (203) 932-4051 |
| Full Name | Kyle Mccormack |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1 Cellini Pl Ste 102, West Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669751178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 002598 (Connecticut) | Primary |
| Entity Name | Middlesex Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972563138 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000592 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Entity Name | Comprehensive Rehab Consultants PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710529771 PECOS PAC ID: 6800220682 Enrollment ID: O20230609000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Mccormack, PA-C 20 York Street, Cb-2041, New Haven, CT 06510-3220 Ph: (203) 688-4748 | Kyle Mccormack, PA-C 1 Cellini Pl Ste 102, West Haven, CT 06516-1666 Ph: (203) 932-6481 |
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 |
Courtney G Moller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 Campbell Ave, Gec240, West Haven, CT 06516 Phone: 203-932-5711 |
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 |