| Michael Constantine Antonellis, | |
|
2800 Main Street Dept Of Surgery, Bridgeport, CT 06606 | |
| (475) 210-6512 | |
| Not Available |
| Full Name | Michael Constantine Antonellis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2800 Main Street Dept Of Surgery, Bridgeport, 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 |
|---|---|---|---|
| 1548930936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 6627 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent's Medical Center | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1555 |
| 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 |
|---|---|
| Michael Constantine Antonellis, 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 Ph: (203) 909-4171 | Michael Constantine Antonellis, 2800 Main Street Dept Of Surgery, Bridgeport, CT 06606 Ph: (475) 210-6512 |
Mr. Alex Scott Cadan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4500 Fax: 203-384-3812 |
Daniel Paoletti, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 |
Ms. Katie Lynn Merithew, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3199 |
Alan Olson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 |
Margaret Parisi, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 |
Ashley Nicole Kovac, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6141 |
Alyssa Michelle Pioggia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 881 Lafayette Blvd Unit 5h, Bridgeport, CT 06604 Phone: 781-879-5650 |