| Mr Mark J Coyle, PA-C | |
|
320 Pomfret St, Putnam, CT 06260-1836 | |
| (860) 928-6541 | |
| (860) 963-6368 |
| Full Name | Mr Mark J Coyle |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 320 Pomfret St, Putnam, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376517136 | NPI | - | NPPES |
| 970022874 | Other | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 000683 (Connecticut) | Primary |
| Entity Name | South Shore Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669411856 PECOS PAC ID: 3678487444 Enrollment ID: O20040413000332 |
| Entity Name | Orion Emergency Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588728240 PECOS PAC ID: 5597753251 Enrollment ID: O20040503001118 |
| Entity Name | Coastal Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark J Coyle, PA-C Po Box 409010, Atlanta, GA 30384-9010 Ph: (800) 377-8721 | Mr Mark J Coyle, PA-C 320 Pomfret St, Putnam, CT 06260-1836 Ph: (860) 928-6541 |
Kristin E Hall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 |
Rebecca Lynn Ladyka, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-382-5474 |
Mr. Rory Slattery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 330 Pomfret St, Putnam, CT 06260 Phone: 860-928-2736 |
Michael Olm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-3883 Fax: 860-963-6032 |
Helder M Garcia, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-963-3802 Fax: 860-963-6032 |
Alyson Marie Hernigle, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-3883 Fax: 860-963-6032 |
Betsy Alvarado, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 239-825-1152 |