| Mark Powers, PA | |
|
Gaylord Farms Rd., Wallingford, CT 06492 | |
| (203) 284-2800 | |
| (203) 679-3598 |
| Full Name | Mark Powers |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | Gaylord Farms Rd., Wallingford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750332144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 000337 (Connecticut) | Primary |
| Entity Name | Gaylord Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730137753 PECOS PAC ID: 1153224191 Enrollment ID: O20040128000878 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Powers, PA Po Box 400, Wallingford, CT 06492-7048 Ph: (203) 284-2800 | Mark Powers, PA Gaylord Farms Rd., Wallingford, CT 06492 Ph: (203) 284-2800 |
Ms. Gina Kelley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 850 N Main Street Ext # 2, Wallingford, CT 06492 Phone: 203-886-0036 |
Ms. Robin Christi Kenna, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8 Research Pkwy, Wallingford, CT 06492 Phone: 203-265-9122 Fax: 203-265-9159 |
Mary E. Cash, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 22 Masonic Ave, 1st Floor, Wallingford, CT 06492 Phone: 203-679-5900 Fax: 203-265-7413 |
John Mark Farrell, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Northrop Rd, Wallingford, CT 06492 Phone: 203-949-1534 |
Gina Morgenstein, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 85 Barnes Rd, Wallingford, CT 06492 Phone: 203-265-3280 Fax: 203-741-6569 |
Elaine Larson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Gaylord Farms Rd., Wallingford, CT 06492 Phone: 203-284-2800 Fax: 203-679-3598 |
Meghan Prevost, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 821 N Main Street Ext Ste 210, Wallingford, CT 06492 Phone: 203-672-2800 |