| Mr Mikhail Altan, | |
|
17 Heritage Dr, Seymour, CT 06483-3841 | |
| (203) 610-1148 | |
| Not Available |
| Full Name | Mr Mikhail Altan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 17 Heritage Dr, Seymour, 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 |
|---|---|---|---|
| 1265248561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 13795 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waterbury Hospital | Waterbury, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Gi Pc | 9830110758 | 207 |
| Entity Name | Connecticut Gi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mikhail Altan, 17 Heritage Dr, Seymour, CT 06483-3841 Ph: (203) 610-1148 | Mr Mikhail Altan, 17 Heritage Dr, Seymour, CT 06483-3841 Ph: (203) 610-1148 |
Samentha Gilles, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Old Ansonia Rd, Seymour, CT 06483 Phone: 203-343-8077 | |
Mrs. Jamie Dossantos, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Squantuck Rd, Seymour, CT 06483 Phone: 203-231-6909 | |
Ms. Holly A Major, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Klarides Village Dr, Seymour, CT 06483 Phone: 203-888-5470 Fax: 203-888-5478 | |
Sarah Hassan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 335 S Main St, Seymour, CT 06483 Phone: 203-690-4907 | |
Laura Guardiano, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 Garden St, Seymour, CT 06483 Phone: 203-906-7406 |