Michael J Payette (NPI# 1952575573, PAC ID# 0648436550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1952575573 |
| PAC ID by PECOS | 0648436550 |
| Professional Enrollment ID | I20120723000005 |
| Full Name | Michael J Payette |
| Organization Legal Name | INTEGRATED DERMATOLOGY OF ENFIELD, LLC |
| Address |
714 Hopmeadow St Suite 5 Simsbury CT 06070-2234 |
| Phone Number | 8607412225 |
| Gender | M |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6305061912 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070036 | JOHN DEMPSEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 | 8603222222 | CENTRAL CONNECTICUT DERMATOLOGY PLLC |
| 714 Hopmeadow St, Suite 5, Simsbury, CT 06070-2234 | 8607412225 | INTEGRATED DERMATOLOGY OF ENFIELD, LLC |
| 30 Knotter Dr, Southington, CT 06489 | 8604002000 | CENTRAL CONNECTICUT DERMATOLOGY PLLC |
| Organization Legal Name | INTEGRATED DERMATOLOGY OF ENFIELD, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Tibbitts | Physician Assistant | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
| Kelly Lorraine Mead | Physician Assistant | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
| Michael R Lund | Physician Assistant | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
| Lenore S Crosson | Nurse Practitioner | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
| Meagen M Mccusker | Dermatology | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
| Street Address |
714 HOPMEADOW ST SUITE 5 |
| City | SIMSBURY |
| State | CT |
| Zip | 06070-2234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Cardone | Cardiovascular Disease (cardiology) | Central Connecticut Cardiologists LLC | 381 Hopmeadow St, Suite 304, Simsbury, CT 06070 |
| Deborah S Greene | Nurse Practitioner | 110 Hopmeadow St, 2nd Floor Suite 700, Simsbury, CT 06070-0813 | |
| Nayyara Malik | Psychiatry | Saint Francis Behavioral Health Group, P.C. | 30 Dorset Xing, Suite 400, Simsbury, CT 06070-1473 |
| Jill Sara Epstein-jones | Clinical Social Worker | Saint Francis Behavioral Health Group, P.C. | 30 Dorset Xing, Suite 400, Simsbury, CT 06070-1473 |
| Malina T Yotova | Psychiatry | Saint Francis Behavioral Health Group, P.C. | 30 Dorset Xing, Suite 400, Simsbury, CT 06070-1473 |
| Joseph N Petitti | Optometry | 883 Hopmeadow St, Simsbury, CT 06070-1821 | |
| Karen R Griffin | Clinical Social Worker | 945 Hopmeadow St, Simsbury, CT 06070-1865 | |
| Anthony J Zukowski | Physical Therapy | 923 Hopmeadow St, Simsbury, CT 06070-1882 | |
| Aida Becker | Family Medicine | Prime Healthcare, PC | 75 Great Pond Rd, Suite 200, Simsbury, CT 06070-1980 |
| Linda Yates | Clinical Social Worker | 10 Station St, Simsbury, CT 06070-2220 | |
| Find all physicians in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| Specialty | DERMATOLOGY |
| City + Specialty | SIMSBURY + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.