| Ansonia Podiatry Associates, Llc | |
|
364 E Main St, Ansonia, CT 06401-1904 | |
| (203) 734-4806 | |
| (203) 734-8265 |
| Full Name | Ansonia Podiatry Associates, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 364 E Main St, Ansonia, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689841520 | NPI | - | NPPES |
| 004020517 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 000678 (Connecticut) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 000678 (Connecticut) | Secondary |
| Provider Name | Michael S Travisano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801807953 PECOS PAC ID: 1052486362 Enrollment ID: I20080821000281 |
| Provider Name | Luke C Jeffries |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639360381 PECOS PAC ID: 8921196411 Enrollment ID: I20111108000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Ansonia Podiatry Associates, Llc 364 E Main St, Ansonia, CT 06401-1904 Ph: (203) 734-4806 | Ansonia Podiatry Associates, Llc 364 E Main St, Ansonia, CT 06401-1904 Ph: (203) 734-4806 |
Yale Podiatry Group Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 364 E Main St, Yale Podiatry Group Pc, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 | |
Luke C Jeffries, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 364 E Main St, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 | |
Jeffrey F Yale, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 364 E Main St, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 | |
Michael S Travisano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 364 E Main St, Ansonia, CT 06401 Phone: 203-734-4806 Fax: 203-734-8265 |