| Mr Kevin Thomas Mccrystal, PAC | |
|
1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 | |
| (860) 276-5208 | |
| Not Available |
| Full Name | Mr Kevin Thomas Mccrystal |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1290 Silas Deane Hwy, Wethersfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730287350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 001356 (Connecticut) | Primary |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
| Entity Name | Northeast Emergency Medicine Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982889598 PECOS PAC ID: 8729157797 Enrollment ID: O20080516000028 |
| Entity Name | Nems PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114482882 PECOS PAC ID: 2466792833 Enrollment ID: O20190321000650 |
| 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 |
|---|---|
| Mr Kevin Thomas Mccrystal, PAC 1290 Silas Deane Hwy Ste 102b, Wethersfield, CT 06109-4337 Ph: Not Available | Mr Kevin Thomas Mccrystal, PAC 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 Ph: (860) 276-5208 |
Beth Anne Dean, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1025 Silas Deane Hwy Ste 101, Wethersfield, CT 06109 Phone: 877-707-4442 |
Mrs. Nataliya Krayzman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Mayfield Rd, Wethersfield, CT 06109 Phone: 860-392-9897 |
Chelsey Paholski Gavelek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1290 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-972-6977 |
Nicole L Hettrich, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1025 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-696-2400 Fax: 860-696-2410 |
Theresa Creamer, PA-C, RD Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 988 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-493-1950 Fax: 860-493-1961 |
Alexandra Zhakov, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-258-3477 |
Christian Keene, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1290 Silas Deane Highway, Hartford Healthcare Cvo, Wethersfield, CT 06109 Phone: 860-972-9093 Fax: 860-972-7040 |