Individual ProviderJonas O'Gara HannestadPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address950 Campbell Ave, West Haven, CT 06516-2770(203) 932-5711(203) 974-7536PECOS EnrollmentBased on the most recent information from CMS, provider Jonas O'Gara Hannestad does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1447305974Provider TypeIndividualFull NameHannestad, Jonas O'GaraTitleDr.CredentialMD PHDGenderMaleSole ProprietorYesEnumeration Date1/24/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address950 Campbell Ave, West Haven, CT 06516-2770Phone(203) 932-5711FaxUnlisted FaxMailing LocationMailing Address227 Church St, Apt 3f, New Haven, CT 06510-1817Phone(203) 974-7536Fax(203) 974-7662Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense043427Connecticut