| Connecticut Foot Care Centers Llc | |
|
505 Willard Ave, Newington, CT 06111-2650 | |
| (860) 666-2078 | |
| (860) 665-8247 |
| Full Name | Connecticut Foot Care Centers Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 505 Willard Ave, Newington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750446399 | NPI | - | NPPES |
| C01817 | Other | CT | MEDICARE GROUP PTAN |
| C01816 | Other | CT | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Ayman M Latif |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043488422 PECOS PAC ID: 5395805873 Enrollment ID: I20081114000219 |
| Provider Name | Jeffrey Steven Kahn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609931245 PECOS PAC ID: 3678660123 Enrollment ID: I20100507000050 |
| Provider Name | Craig Michael Kaufman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205991890 PECOS PAC ID: 0941397491 Enrollment ID: I20100910000719 |
| Provider Name | Richard Edward Ehle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144385717 PECOS PAC ID: 1951426139 Enrollment ID: I20100910000790 |
| Provider Name | Raffaella Pascarella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881075323 PECOS PAC ID: 9335496389 Enrollment ID: I20180720002618 |
| Provider Name | Anthony J Brockington |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902149370 PECOS PAC ID: 0244543700 Enrollment ID: I20210521001814 |
| Provider Name | Talia Morgan Brown |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013597186 PECOS PAC ID: 6608215744 Enrollment ID: I20240422002552 |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Foot Care Centers Llc Po Box 37, Rocky Hill, CT 06067-0037 Ph: (860) 563-1200 | Connecticut Foot Care Centers Llc 505 Willard Ave, Newington, CT 06111-2650 Ph: (860) 666-2078 |
Talia Morgan Brown, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 505 Willard Ave Ste D, Newington, CT 06111 Phone: 860-666-2078 | |
Dr. Craig M Kaufman, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 505 Willard Ave, Newington, CT 06111 Phone: 860-666-2078 Fax: 860-665-8247 | |
Connecticut Foot Care Centers Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 505 Willard Ave, Bldg 2-d, Newington, CT 06111 Phone: 860-666-2078 Fax: 860-665-8247 | |
Dr. Robert Teraila, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 190 Market Sq Rear, Newington, CT 06111 Phone: 860-666-7939 Fax: 860-666-7897 |