| Pei Sun Md.llc | |
|
850 N Main Street Ext Building1,a3 Wallingford CT 06492-2400 | |
| (203) 269-4353 | |
| (203) 269-4606 |
| Full Name | Pei Sun Md.llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 N Main Street Ext, Wallingford, Connecticut |
| Authorized Official Name and Position | Pei Fang Sun (OWNER) |
| Authorized Official Contact | 2032694353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pei Sun Md.llc 850 N Main Street Ext Building1,a3 Wallingford CT 06492-2400 Ph: (203) 269-4353 | Pei Sun Md.llc 850 N Main Street Ext Building1,a3 Wallingford CT 06492-2400 Ph: (203) 269-4353 |
| NPI Number | 1831412899 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 04/04/2011 |
| Medicare PECOS PAC ID | 0244356178 |
|---|---|
| Medicare Enrollment ID | O20100928000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831412899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 037546 (Connecticut) | Primary |
| Provider Name | Pei F Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225171754 PECOS PAC ID: 6305962242 Enrollment ID: I20100928001103 |
| Provider Name | Daniel P Tuohey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437565553 PECOS PAC ID: 0446577407 Enrollment ID: I20150401000069 |
| Provider Name | Christopher L Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598297665 PECOS PAC ID: 9335400977 Enrollment ID: I20180223000120 |
| Provider Name | Yidi Ge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417489253 PECOS PAC ID: 8729400981 Enrollment ID: I20200617002587 |
| Provider Name | Francesca Alyssa Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871326140 PECOS PAC ID: 7416481080 Enrollment ID: I20241106000184 |
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