| Value Based Long Term Care J PC | |
|
5 Research Dr Shelton CT 06484-6232 | |
| (203) 901-2493 | |
| (866) 497-2991 |
| Full Name | Value Based Long Term Care J PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Research Dr, Shelton, Connecticut |
| Authorized Official Name and Position | Manoj Wadhwani (OWNER) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Value Based Long Term Care J PC 5 Research Dr Shelton CT 06484-6232 Ph: (203) 901-2493 | Value Based Long Term Care J PC 5 Research Dr Shelton CT 06484-6232 Ph: (203) 901-2493 |
| NPI Number | 1932931474 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Medicare PECOS PAC ID | 3173063294 |
|---|---|
| Medicare Enrollment ID | O20250617001823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932931474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Linda Lucio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831394832 PECOS PAC ID: 9335033398 Enrollment ID: I20040210001193 |
| Provider Name | Dan Neal Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750341012 PECOS PAC ID: 1850381443 Enrollment ID: I20040515000042 |
| Provider Name | James Dixson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790729895 PECOS PAC ID: 4183534589 Enrollment ID: I20041105000391 |
| Provider Name | Ronald L Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437129020 PECOS PAC ID: 4082665179 Enrollment ID: I20050412000065 |
| Provider Name | Drew K Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437180080 PECOS PAC ID: 5698718062 Enrollment ID: I20050804001105 |
| Provider Name | Curtis E Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972570067 PECOS PAC ID: 9234153099 Enrollment ID: I20060119000296 |
| Provider Name | Adam V Stephens |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528018942 PECOS PAC ID: 3870505076 Enrollment ID: I20060710000267 |
| Provider Name | Orson P Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174542351 PECOS PAC ID: 4880697333 Enrollment ID: I20060823000106 |
| Provider Name | Henry D Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629040456 PECOS PAC ID: 2264411420 Enrollment ID: I20061013000513 |
| Provider Name | Angela M Mcguire |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053492256 PECOS PAC ID: 9436254307 Enrollment ID: I20070420000548 |
| Provider Name | Terry C Hermance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518980580 PECOS PAC ID: 1951315498 Enrollment ID: I20070830000571 |
| Provider Name | Ronald Marion Cable |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467430900 PECOS PAC ID: 7618975947 Enrollment ID: I20081022000489 |
| Provider Name | Jeanie M Loper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750424404 PECOS PAC ID: 0547329096 Enrollment ID: I20081112000676 |
| Provider Name | Michael G Weeks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184875783 PECOS PAC ID: 6800941600 Enrollment ID: I20090831000431 |
| Provider Name | Evaughna J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326373150 PECOS PAC ID: 8325187073 Enrollment ID: I20091209000460 |
| Provider Name | James B Krablin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679509657 PECOS PAC ID: 3779573894 Enrollment ID: I20091229000112 |
| Provider Name | Pamela J Chadwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861434623 PECOS PAC ID: 2961528070 Enrollment ID: I20100927000741 |
| Provider Name | Corey D Finch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407903644 PECOS PAC ID: 3870774250 Enrollment ID: I20120202000898 |
| Provider Name | Tamara Altstatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952679086 PECOS PAC ID: 1658532122 Enrollment ID: I20120410000097 |
| Provider Name | Ashley Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366761173 PECOS PAC ID: 7214171487 Enrollment ID: I20130910000742 |
| Provider Name | Alex Dwuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417275041 PECOS PAC ID: 5698926111 Enrollment ID: I20131217000808 |
| Provider Name | Tabathya Starr Taliaferro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902218548 PECOS PAC ID: 4880819077 Enrollment ID: I20140701002316 |
| Provider Name | Bart Anthony Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063815546 PECOS PAC ID: 2062634769 Enrollment ID: I20141113001027 |
| Provider Name | Jessica Deppen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659774131 PECOS PAC ID: 3779624317 Enrollment ID: I20151102002151 |
| Provider Name | Ashley a Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992174973 PECOS PAC ID: 7618273772 Enrollment ID: I20160316000201 |
| Provider Name | Jimmy Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649653833 PECOS PAC ID: 4981909462 Enrollment ID: I20160809000605 |
| Provider Name | Brooke B Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013361617 PECOS PAC ID: 5294021036 Enrollment ID: I20160906000325 |
| Provider Name | Justin Eric Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801272133 PECOS PAC ID: 8820377617 Enrollment ID: I20161118000887 |
| Provider Name | Julia Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215451455 PECOS PAC ID: 1254570914 Enrollment ID: I20170829003890 |
| Provider Name | Lyndsey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811444078 PECOS PAC ID: 1759655426 Enrollment ID: I20170919001507 |
| Provider Name | Brooke E Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912487489 PECOS PAC ID: 2466704093 Enrollment ID: I20181010001199 |
| Provider Name | Jacqueline Ann Yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124536388 PECOS PAC ID: 0941118152 Enrollment ID: I20181030001666 |
| Provider Name | Kristin Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780169631 PECOS PAC ID: 6204174741 Enrollment ID: I20190208000603 |
| Provider Name | Karen Louise Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821561770 PECOS PAC ID: 2668715640 Enrollment ID: I20190514002255 |
| Provider Name | Steven Bednarczyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245593581 PECOS PAC ID: 8426074170 Enrollment ID: I20200421002407 |
| Provider Name | Randy Patterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194109066 PECOS PAC ID: 6608113097 Enrollment ID: I20210827000095 |
| Provider Name | Madison Nicole Hibbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508522871 PECOS PAC ID: 6709276124 Enrollment ID: I20211129001763 |
| Provider Name | Nancy Ellen Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013603232 PECOS PAC ID: 7911361175 Enrollment ID: I20230907000707 |
Sage Hollow Health PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Research Dr, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |
Value Based Long Term Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 781-343-1475 |
Revival IV and Wellness Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Progress Dr Ste 1d, Shelton, CT 06484 Phone: 475-314-3011 Fax: 475-314-3011 |
Whitman Senior Health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |
Lincoln Senior Health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |
Washington Senior Health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |