Lidia Mikolaenko (NPI# 1497175228, PAC ID# 5698035525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497175228 |
| PAC ID by PECOS | 5698035525 |
| Professional Enrollment ID | I20180214000311 |
| Full Name | Lidia Mikolaenko |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Address |
35 Talcottville Rd Vernon CT 06066-5261 |
| Phone Number | 8608706385 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153573902 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070025 | HARTFORD HOSPITAL |
| 070012 | ROCKVILLE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 | 8602765144 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 35 Talcottville Rd, Vernon, CT 06066-5261 | 8608706385 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 35 Talcottville Rd, Suite 5, Vernon Rockville, CT 06066-5261 | 8608706388 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Physicians | 230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kefah Raed A Al-ramahi | Internal Medicine | Hartford Healthcare Medical Group Inc | 2 Northwestern Dr, Bloomfield, CT 06002-3480 |
| Laura Celeste Black | Internal Medicine | Hartford Healthcare Medical Group Inc | 336 N Main St, West Hartford, CT 06117-2675 |
| Surayda J Herrera | Internal Medicine | Hartford Healthcare Medical Group Inc | 5 Founders Dr, Willimantic, CT 06226-2048 |
| Aimee C Eaton | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 39 Kennedy Dr, Suite D, Putnam, CT 06260-1957 |
| Daniela M La Rosa | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 23 Liberty Dr, Suite A, Hebron, CT 06248-1553 |
| Lori D Lerner | Family Medicine | Hartford Healthcare Medical Group Inc | 1060 Day Hill Rd, Suite 202, Windsor, CT 06095-5720 |
| Kulsoom H Maudoodi | Internal Medicine | Hartford Healthcare Medical Group Inc | 100 Hazard Ave, Suite 101, Enfield, CT 06082-5447 |
| Sarah J Robertson | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Sarah Louise Tyler | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 324 Flanders Rd, East Lyme, CT 06333-1735 |
| Manju M John | Internal Medicine | Hartford Healthcare Medical Group Inc | 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 |
| Street Address |
35 TALCOTTVILLE RD |
| City | VERNON |
| State | CT |
| Zip | 06066-5261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Cushing | Optometry | Oculus, LLC | 35 Talcottville Rd, Vernon, CT 06066-5261 |
| Kellie Ford | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 35 Talcottville Rd, Suite 1, Vernon, CT 06066-5261 |
| Edmund Kazimir Swan | Optometry | Oculus, LLC | 35 Talcottville Rd, Vernon, CT 06066-5261 |
| Jennifer A Caruso | Psychologist, Clinical | Hartford Healthcare Medical Group Specialists LLC | 35 Talcottville Rd, Suite 5, Vernon, CT 06066-5261 |
| Kendall A Hodges | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 35 Talcottville Rd, Suite 1, Vernon, CT 06066-5261 |
| Amanda R Brill | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 35 Talcottville Rd, Suite 5, Vernon, CT 06066-5261 |
| Gerard S Mason | Optometry | Oculus, LLC | 35 Talcottville Rd, Vernon, CT 06066-5261 |
| Duarte G Machado | Neurology | Hartford Healthcare Medical Group Specialists LLC | 35 Talcottville Rd, Suite 1, Vernon, CT 06066-5261 |
| Alison L Carlson | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 35 Talcottville Rd, Suite 1, Vernon, CT 06066-5261 |
| Peter D Staiger | Ophthalmology | Oculus, LLC | 35 Talcottville Rd, Vernon, CT 06066-5261 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marlene Marie Dolat | Nurse Practitioner | Prohealth Physicians PC | 554 Talcottville Rd, Vernon, CT 06066-2310 |
| James A Kelly | Nurse Practitioner | Prohealth Physicians PC | 554 Talcottville Rd, Vernon, CT 06066-2310 |
| Talia Nichols | Nurse Practitioner | Prohealth Physicians PC | 554 Talcottville Rd, Vernon, CT 06066-2310 |
| Kari J Daniels | Physician Assistant | Chandra K. Sacheti, M.d., LLC | 561 Talcottville Rd, Vernon, CT 06066-2311 |
| Chandra K Sacheti | Cardiovascular Disease (cardiology) | Chandra K. Sacheti, M.d., LLC | 561 Talcottville Rd, Vernon, CT 06066-2311 |
| Saurav Chatterjee | Cardiovascular Disease (cardiology) | Chandra K. Sacheti, M.d., LLC | 561 Talcottville Rd, Vernon, CT 06066-2311 |
| Dushyant N Gandhi | Cardiovascular Disease (cardiology) | Chandra K. Sacheti, M.d., LLC | 561 Talcottville Rd, Vernon, CT 06066-2311 |
| Michele P Barry | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 145 Union St, Vernon Rockville, CT 06066-3025 |
| Charles Vassilopoulos | Psychologist, Clinical | 147 Union St, Vernon Rockville, CT 06066-3025 | |
| Ruchi Sharma | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 145 Union St, Vernon Rockville, CT 06066-3025 |
| Find all physicians in zip 06066 | |||
| City | VERNON |
| Zip Code | 06066 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VERNON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lidia Mikolaenko.
| 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.