| Tiah Lanae Booker, PHYSICIAN ASSISTANT | |
|
900 Mix Ave Apt 28, Hamden, CT 06514-5107 | |
| (203) 444-7019 | |
| Not Available |
| Full Name | Tiah Lanae Booker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 900 Mix Ave Apt 28, Hamden, 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 |
|---|---|---|---|
| 1093527616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Sinai Hospital | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icahn School Of Medicine At Mount Sinai | 2264691070 | 2809 |
| Entity Name | Icahn School of Medicine at Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477932275 PECOS PAC ID: 2264691070 Enrollment ID: O20150811003333 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiah Lanae Booker, PHYSICIAN ASSISTANT 900 Mix Ave Apt 28, Hamden, CT 06514-5107 Ph: (203) 444-7019 | Tiah Lanae Booker, PHYSICIAN ASSISTANT 900 Mix Ave Apt 28, Hamden, CT 06514-5107 Ph: (203) 444-7019 |
Carly Rumanoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3588 Whitney Ave, Hamden, CT 06518 Phone: 203-288-2550 |
Nina Tufaro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 925 Mix Ave Apt 1d, Hamden, CT 06514 Phone: 631-987-5439 |
Allison Marie Wick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Mount Carmel Ave, Hamden, CT 06518 Phone: 203-582-8200 |
Jessica Nursick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1952 Whitney Ave, Hamden, CT 06517 Phone: 203-848-1803 |
Marcy Ann Kesilewski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 Mount Carmel Ave Bldg 4, Hamden, CT 06518 Phone: 203-582-8545 |
Douglas A Stitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Whitney Ave, Suite 180, Hamden, CT 06518 Phone: 203-407-2500 Fax: 203-407-5812 |
Mr. Randy M Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Whitney Avenue, Suite 360, Hamden, CT 06518 Phone: 203-281-4463 Fax: 203-287-2930 |