| Mr Henry F Fedus, DPM | |
|
21 Grand Street, Hartford, CT 06106 | |
| (860) 550-7500 | |
| (860) 550-7501 |
| Full Name | Mr Henry F Fedus |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 21 Grand Street, Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316902273 | NPI | - | NPPES |
| 000662 | Other | CT | PODIATRIST LICENSE |
| 25027 | Other | CT | CONTROLLED SUBSTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 0662 (Connecticut) | Primary |
| Provider Name | Charter Oak Health Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992750855 PECOS PAC ID: 3870401078 Enrollment ID: O20040220000909 |
| Provider Name | New England Foot Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497299408 PECOS PAC ID: 3072897552 Enrollment ID: O20170228002550 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Henry F Fedus, DPM 21 Grand Street, Hartford, CT 06106 Ph: (860) 550-7500 | Mr Henry F Fedus, DPM 21 Grand Street, Hartford, CT 06106 Ph: (860) 550-7500 |
Eric Lui, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St, Suite 409, Hartford, CT 06106 Phone: 860-547-0616 Fax: 860-524-2655 | |
Connecticut Surgical Group, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St, Ste 409, Hartford, CT 06106 Phone: 860-547-0616 Fax: 860-524-2655 | |
Hartford Podiatry Group Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 999 Asylum Ave Fl 1, Hartford, CT 06105 Phone: 860-523-8026 Fax: 860-523-7622 | |
Connecticut Foot Specialists Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Avenue, Suite 2100, Hartford, CT 06105 Phone: 860-714-3668 Fax: 860-714-8123 | |
Catherine Jacobs, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-5911 | |
Dr. Eric Myles Kosofsky, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 999 Asylum Ave Ste 111, Hartford, CT 06105 Phone: 860-523-8026 Fax: 860-523-7622 |