| Philip M Roach, | |
|
100 Grand St, New Britain, CT 06052-2016 | |
| (860) 224-5011 | |
| Not Available |
| Full Name | Philip M Roach |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 100 Grand St, New Britain, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992005599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002469 (Connecticut) | Primary |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Entity Name | Middlesex Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851350664 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip M Roach, Po Box 1090, Windsor, CT 06095-6190 Ph: (203) 709-3117 | Philip M Roach, 100 Grand St, New Britain, CT 06052-2016 Ph: (860) 224-5011 |
John Bean, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2150 Corbin Ave, New Britain, CT 06053 Phone: 860-223-2761 |
Ms. Kortney Rose Ribbeck, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 |
Alexandra Deangelis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lake St, New Britain, CT 06052 Phone: 203-767-3758 |
Amy Beth Ziegelmeier, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5661 |
Victoria Drumski Swider, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 |
Nicole-christin Dujon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 |
Maria Allen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 |