| Malyssa Emily Chanthasoto, PA-C | |
|
1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067-3455 | |
| (860) 525-4469 | |
| Not Available |
| Full Name | Malyssa Emily Chanthasoto |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1111 Cromwell Ave Ste 404, Rocky Hill, 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 |
|---|---|---|---|
| 1487222188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5241 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | 0010-15498 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Hospital | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopedic Surgical Partners, P.c. | 1355394115 | 23 |
| Mailing Address | Practice Location Address |
|---|---|
| Malyssa Emily Chanthasoto, PA-C 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067-3455 Ph: (551) 427-7163 | Malyssa Emily Chanthasoto, PA-C 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067-3455 Ph: (860) 525-4469 |
Danielle Boley, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Cromwell Ave, Rocky Hill, CT 06067 Phone: 860-525-4469 | |
Kene Saunders, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 476 Cromwell Ave, Rocky Hill, CT 06067 Phone: 413-657-9360 | |
Carolyn Kolb Forte, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 400 Capital Blvd, Rocky Hill, CT 06067 Phone: 860-221-0255 | |
Alexander D Vendetto, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 Phone: 860-525-4469 | |
Mr. Liam Carlos Forstein, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 Phone: 860-525-4469 | |
Mr. Christopher James Berube, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 Phone: 860-525-4469 |