| Mr Paul Oliver, PA | |
|
330 Orchard St., New Haven, CT 06511 | |
| (203) 789-3152 | |
| (203) 867-5457 |
| Full Name | Mr Paul Oliver |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 330 Orchard 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 |
|---|---|---|---|
| 1124132089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1264 (Connecticut) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 001264 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yale University | 9436061736 | 2632 |
| Northeast Medical Group Inc | 1254233836 | 1357 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Entity Name | Connecticut Orthopaedic Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235181389 PECOS PAC ID: 7315850039 Enrollment ID: O20031110000220 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Oliver, PA 330 Orchard St., New Haven, CT 06511 Ph: (203) 789-3152 | Mr Paul Oliver, PA 330 Orchard St., New Haven, CT 06511 Ph: (203) 789-3152 |
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 |