| Michelle Rae Rusted, | |
|
125 Lasalle Rd Ste 208, West Hartford, CT 06107-2311 | |
| (860) 906-1289 | |
| Not Available |
| Full Name | Michelle Rae Rusted |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 125 Lasalle Rd Ste 208, West Hartford, 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 |
|---|---|---|---|
| 1730797721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | OA005304 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | 5476 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pounds Medical Weight Loss Transformation Pc | 5991930661 | 8 |
| 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 | Pounds Medical Weight Loss Transformation PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306283718 PECOS PAC ID: 5991930661 Enrollment ID: O20131105001229 |
| Entity Name | Hartford Healthcare Urgent Care Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Rae Rusted, 1060 Day Hill Rd Ste 203, Windsor, CT 06095-5720 Ph: Not Available | Michelle Rae Rusted, 125 Lasalle Rd Ste 208, West Hartford, CT 06107-2311 Ph: (860) 906-1289 |
Sarah Elizabeth Preleski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 836 Farmington Ave Ste 207, West Hartford, CT 06119 Phone: 860-232-9911 |
Emma Woodward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 65 Memorial Rd Ste 508, West Hartford, CT 06107 Phone: 860-696-2925 |
Erica Falger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 65 Memorial Rd Ste 435, West Hartford, CT 06107 Phone: 860-696-2840 Fax: 860-696-2845 |
Ms. Marybeth Aucoin Moore, PA-C, MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 631 Quaker Ln S, West Hartford, CT 06110 Phone: 860-233-5133 Fax: 860-233-5212 |
Justin Hong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 836 Farmington Ave Ste 207, West Hartford, CT 06119 Phone: 860-232-9911 |
Vanessa C Pacholski, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 970 Farmington Ave, Suite 201, West Hartford, CT 06107 Phone: 860-561-4300 Fax: 860-561-1635 |
Mrs. Stephanie Gort, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Barksdale Rd, West Hartford, CT 06117 Phone: 860-985-4188 |