| Mr Kevin M O'hara, PA | |
|
1450 Chapel St, New Haven, CT 06511-4405 | |
| (203) 737-1003 | |
| Not Available |
| Full Name | Mr Kevin M O'hara |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 1450 Chapel St, New Haven, 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 |
|---|---|---|---|
| 1235463522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003167 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital For Cancer And Allied Diseases | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Msk Nassau | 8628311685 | 100 |
| Memorial Hematology Lymphoma Group | 7113816489 | 215 |
| Mskcc Regional Network | 6608765144 | 130 |
| Entity Name | Mskcc Regional Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740251297 PECOS PAC ID: 6608765144 Enrollment ID: O20040312000936 |
| Entity Name | Memorial Hematology Lymphoma Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891766366 PECOS PAC ID: 7113816489 Enrollment ID: O20040313000643 |
| Entity Name | Mskcc Clinical Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588789341 PECOS PAC ID: 4981704541 Enrollment ID: O20070711000565 |
| Entity Name | Msk Nassau |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053875229 PECOS PAC ID: 8628311685 Enrollment ID: O20190522000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin M O'hara, PA Po Box 208083, New Haven, CT 06520-8083 Ph: (203) 737-1003 | Mr Kevin M O'hara, PA 1450 Chapel St, New Haven, CT 06511-4405 Ph: (203) 737-1003 |
Sydney M Judge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 |
Mr. Ryan Christian Rogers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-785-2618 Fax: 203-737-2221 |
Mr. Matthew Ainey Gordon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20 York St, 3rd Floor West Pavilion, Cticu, New Haven, CT 06510 Phone: 203-785-2702 Fax: 203-785-3346 |
Andrea Ferraro, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Park St Rm 209, New Haven, CT 06519 Phone: 203-284-0196 |
Samantha Dawnel Stearns, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Po Box 208004, New Haven, CT 06520 Phone: 877-925-3637 |
Dorreen Brune, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 |
Shelby Fundin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 |