| Care Beyond Medicine Pllc | |
|
2247 E Main St Suite 103 Waterbury CT 06705 | |
| (203) 527-7269 | |
| (203) 987-3220 |
| Full Name | Care Beyond Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2247 E Main St, Waterbury, Connecticut |
| Authorized Official Name and Position | Philip Mongelluzzo (MD/OWNER) |
| Authorized Official Contact | 2035277269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Beyond Medicine Pllc 2247 E Main St Suite 103 Waterbury CT 06705 Ph: (203) 527-7269 | Care Beyond Medicine Pllc 2247 E Main St Suite 103 Waterbury CT 06705 Ph: (203) 527-7269 |
| NPI Number | 1902481930 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Medicare PECOS PAC ID | 7315355849 |
|---|---|
| Medicare Enrollment ID | O20210421001091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902481930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sarah F Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922253483 PECOS PAC ID: 1658434170 Enrollment ID: I20090109000464 |
| Provider Name | Akua A Sam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568454635 PECOS PAC ID: 3577751395 Enrollment ID: I20101221000627 |
| Provider Name | Ivanna Tsykhulyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083290423 PECOS PAC ID: 5597173096 Enrollment ID: I20210422000734 |
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