| Dr Marvela Gratia Hermanus, DPM | |
|
850 N Main Street Ext Ste 2a2, Wallingford, CT 06492-2483 | |
| (203) 626-5581 | |
| Not Available |
| Full Name | Dr Marvela Gratia Hermanus |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 27 Years |
| Location | 850 N Main Street Ext Ste 2a2, Wallingford, 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 |
|---|---|---|---|
| 1467466995 | NPI | - | NPPES |
| 29310-1/412354 | Other | RI | BLUE CROSS BLUE SHIELD |
| 480031933 | Other | MEDICARE RAILROAD | |
| 0322016 | Medicaid | MA | |
| MH48662 | Medicaid | RI | |
| Y71109 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DPM00314 (Rhode Island) | Secondary |
| 213E00000X | Podiatrist | 2209 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Podiatry Partners, Pllc | 6901228063 | 7 |
| Connecticut Podiatry Partners, Pllc | 6901228063 | 7 |
| Provider Name | Carelink, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386827889 PECOS PAC ID: 4688751522 Enrollment ID: O20170615000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marvela Gratia Hermanus, DPM 888 Worcester St, Suite 130, Wellesley, MA 02482-3744 Ph: (617) 964-6681 | Dr Marvela Gratia Hermanus, DPM 850 N Main Street Ext Ste 2a2, Wallingford, CT 06492-2483 Ph: (203) 626-5581 |
The Center For Foot And Ankle Surgery, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 187 N Main St, Wallingford, CT 06492 Phone: 203-265-4814 Fax: 203-949-4741 | |
Paul T Gambardella Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 329 Main St, Unit 110, Wallingford, CT 06492 Phone: 203-265-6677 | |
Connecticut Podiatry Partners, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 850 N Main Street Ext Ste 2a2, Wallingford, CT 06492 Phone: 203-626-5581 | |
Dr. John F D'amico, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 187 N Main St, Wallingford, CT 06492 Phone: 203-265-4814 Fax: 203-949-4741 | |
Dr. Christopher Michael Yardan, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 187 N Main St, Wallingford, CT 06492 Phone: 203-265-4814 Fax: 203-949-4741 |