| Victoria Thai, | |
|
150 N Main St, Manchester, CT 06042-2086 | |
| (860) 528-1359 | |
| Not Available |
| Full Name | Victoria Thai |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 150 N Main St, Manchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689442667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | First Choice Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215923131 PECOS PAC ID: 2769417609 Enrollment ID: O20060127000447 |
| Entity Name | Hartford Healthcare Urgent Care Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Thai, 94 Connecticut Blvd, East Hartford, CT 06108-3013 Ph: Not Available | Victoria Thai, 150 N Main St, Manchester, CT 06042-2086 Ph: (860) 528-1359 |
Shane Thomas Joy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 256 N Main St, Manchester, CT 06042 Phone: 860-696-2300 |
Samuel Lamana, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 935 Main St, Manchester, CT 06040 Phone: 860-527-5803 Fax: 860-525-3687 |
Jyoti Mittal, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4176 |
Danielle Kirei, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 |
Mr. David C Woodworth, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 277 Middle Tpke W, Manchester, CT 06040 Phone: 860-432-4640 Fax: 860-432-4759 |
Andrea Lynch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-533-6595 Fax: 860-533-6594 |
Faraz Mohammad Sabir, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-647-6475 |