| Ms Kimberly Guzzio, PA-C | |
|
196 Parkway S, Suite 103, Waterford, CT 06385-1234 | |
| (860) 443-4383 | |
| (860) 443-3980 |
| Full Name | Ms Kimberly Guzzio |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 196 Parkway S, Waterford, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376587584 | NPI | - | NPPES |
| 1376587584 | Medicaid | RI | |
| 1376587584 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 001019 (Connecticut) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 1019 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Westerly Hospital | Westerly, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1357 |
| 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 |
|---|---|
| Ms Kimberly Guzzio, PA-C 99 Hawley Ln Fl 3, Stratford, CT 06614-1202 Ph: (860) 443-4383 | Ms Kimberly Guzzio, PA-C 196 Parkway S, Suite 103, Waterford, CT 06385-1234 Ph: (860) 443-4383 |
Susan K Schroeder, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 196 Parkway S, Suite 201, Waterford, CT 06385 Phone: 860-440-0688 Fax: 860-437-0318 |
Robert John Kupis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 196 Parkway South, Suite 103, Waterford, CT 06385 Phone: 860-443-4383 Fax: 860-443-3980 |
Jodi V Hodge, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 196 Parkway S, Suite 303, Waterford, CT 06385 Phone: 860-443-4455 Fax: 860-447-8961 |
Russell R Otto, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Boston Post Rd, Waterford, CT 06385 Phone: 860-442-0407 Fax: 860-444-2015 |
Julie Zito, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway S, Suite303, Waterford, CT 06385 Phone: 860-443-4455 Fax: 860-447-8961 |
Amanda Siminerio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S Ste 306, Waterford, CT 06385 Phone: 860-257-4131 |
Christopher D. Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway S, Suite 201, Waterford, CT 06385 Phone: 860-440-0688 Fax: 860-437-0318 |