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Myer B Shimelman

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

1 Long Wharf Dr, Suite 302, New Haven, CT 06511-5991

PECOS Enrollment

Based on the most recent information from CMS, provider Myer B Shimelman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1073562195
Provider Type
Individual
Full Name
Shimelman, Myer B
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/8/2006
Last Updated
1/9/2017

Contact Information

Practice Location

1 Long Wharf Dr, Suite 302, New Haven, CT 06511-5991

(203) 624-5522

(203) 624-4301

Mailing Location

1 Long Wharf Dr, Suite 302, New Haven, CT 06511-5991

(203) 624-5522

(203) 624-4301

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 0015578 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 004082286	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID NHS125	Description Other	Issuer OXFORD
ID 008042339	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 004082260	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 008024427	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 001155787	Description Other	Issuer MEDICAID DR. SHIMELMAN'S INDIVIDUAL # Connecticut
ID 004041000	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 008022622	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 010015578CT01	Description Other	Issuer ANTHEM BLUE CROSS BLUE SH Connecticut
ID 1548465321	Description Other	Issuer GROUP NPI Connecticut
ID 168637	Description Other	Issuer MANAGED HEALTH NETWORK
ID 500000315	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 008001325	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 008022626	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 008023170	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 004217099	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 2238345	Description Other	Issuer CIGNA BEHAVIORAL HEALTH G
ID 008003745	Description Other	Issuer MEDICAID APT FOUNDATION INC. Connecticut
ID 329219	Description Other	Issuer MAGELLAN BEHAVIORAL HEALT
ID 0015578	Description Other	Issuer CIGNA BEHAVIORAL HEALTH
ID 164472	Description Other	Issuer VALUE OPTIONS
ID C01033	Description Other	Issuer MEDICARE APT FOUNDATION INC. Connecticut

Myer B Shimelman

PECOS Enrollment

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