Angela C Biondi, PA
Individual provider Active NPI Medical Physician Assistant · Tolland, CT
NPI 1992959308 · NPPES record last updated Jul 12, 2011
Key facts
- NPI
- 1992959308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 001810 (CT)
- Practice address
- 384 Merrow Rd Ste K
Tolland, CT 06084-3970 - Phone
- (860) 871-8851
- Fax
- (860) 871-8852
- NPI assigned
- Nov 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prohealth Physicians PC
Practice addresses (Care Compare)
115 Spencer St
Winsted, CT 06098-1140
Phone (860) 738-5814
950 Yale Ave
Wallingford, CT 06492-1858
Phone (203) 265-9600
Hospital & facility affiliations
- Manchester Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100927000964 | CT | Practitioner - Physician Assistant | 9436275567 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001810 | CT | MD | Professional Counselor |
| 1810 | CT | MD | Chiropractor |
Interoperability endpoints
- angela.biondi.npi1992959308.phpct@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001810 | CT | Yes |
Addresses
Primary practice location
384 Merrow Rd Ste K
Tolland, CT 06084-3970
Mailing address
PO Box 788
Tolland, CT 06084-0788
Phone (860) 871-8851
Other providers in Tolland, CT
- Gerald M Bayona
- Jonathan C Beazley
- Kelly A Bedard
- Behavioral Wellness Clinic
- Big Y Foods Inc
- Mitchell Blank
- Isaac Boakye
- Maggie H Bolduc
- Donna Brice
- Devon Briem
All providers in Tolland, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.