| Lisa Marie Ambrogio-decola, PA | |
|
435 Lewis Ave Ste 103, Meriden, CT 06451-2101 | |
| (203) 694-7550 | |
| (203) 694-7555 |
| Full Name | Lisa Marie Ambrogio-decola |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 435 Lewis Ave Ste 103, Meriden, 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 |
|---|---|---|---|
| 1295741825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 001246 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midstate Medical Center | Meriden, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1555 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| 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 | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| 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 |
|---|---|
| Lisa Marie Ambrogio-decola, PA 435 Lewis Ave, Ste 103, Meriden, CT 06451-2101 Ph: (203) 789-3997 | Lisa Marie Ambrogio-decola, PA 435 Lewis Ave Ste 103, Meriden, CT 06451-2101 Ph: (203) 694-7550 |
Henry Vladyka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 Fax: 203-694-8200 |
Gabriella Rios, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8433 |
Anthony Joseph Boguslawski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 |
Sarah C Ward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 617-732-5500 |
Lindsey Dimler, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 127-493-3886 |
Hannah Mcmullen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 |
Ryan Wessels, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 |