| Michael J Nolan, PA | |
|
56 Franklin St, Waterbury, CT 06706-1253 | |
| (203) 709-6360 | |
| (203) 709-5118 |
| Full Name | Michael J Nolan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 56 Franklin St, Waterbury, Connecticut |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386664787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1644 (Connecticut) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 001644 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Hospital & Medical Center | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 644 |
| Prospect Ct Medical Foundation Inc | 7416244496 | 287 |
| Heartcare Associates Of Connecticut, Llc | 1153215199 | 7 |
| Impact Health Pc | 0941562664 | 79 |
| Entity Name | Trinity Health of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | University of Connecticut Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
| 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 | Southern Connecticut Vascular Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033318175 PECOS PAC ID: 8527951532 Enrollment ID: O20040204000449 |
| Entity Name | Heartcare Associates of Connecticut, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871522169 PECOS PAC ID: 1153215199 Enrollment ID: O20040211000445 |
| Entity Name | Prospect Ct Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
| Entity Name | Impact Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Nolan, PA 56 Franklin St, Waterbury, CT 06706-1253 Ph: (203) 709-6360 | Michael J Nolan, PA 56 Franklin St, Waterbury, CT 06706-1253 Ph: (203) 709-6360 |
Ms. Jodi Lasky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 26 Westport Dr, Waterbury, CT 06706 Phone: 203-565-4728 |
Denisse Burgos-jimenez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 56 Franklin St, Waterbury, CT 06706 Phone: 860-989-6067 |
Mrs. Juliet Elisabeth Rivera, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 64 Robbins St, Waterbury, CT 06708 Phone: 203-573-7066 |
Anxhela Kulla, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1981 E Main St Unit 2, Waterbury, CT 06705 Phone: 203-709-5520 |
Alexander Luis Rosado, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Chase Pkwy, Waterbury, CT 06708 Phone: 203-755-6677 |
Dylan Stempel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 56 Franklin St, Waterbury, CT 06706 Phone: 860-227-4756 |
Lynn Baylis, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 64 Robbins St, Waterbury, CT 06708 Phone: 203-573-6295 Fax: 203-573-7613 |