Dominique Rae Deangelis, PA-C - Physician Assistant in Greenwich, CT

Dominique Rae Deangelis, PA-C is a Physician Assistant - Medical based in Greenwich, Connecticut. Dominique Rae Deangelis is licensed to practice in Connecticut (license number 6374) and her current practice location is 5 Perryridge Rd, Greenwich, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 863-3000.

NPI number for Dominique Rae Deangelis is 1245006147 and her current mailing address is 3 Anasville Rd, Somers, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245006147.

Contact Information

Dominique Rae Deangelis, PA-C
5 Perryridge Rd,
Greenwich, CT 06830-4697
(203) 863-3000
Not Available



Provider's Profile

Full NameDominique Rae Deangelis
GenderFemale
SpecialityPhysician Assistant - Medical
Location5 Perryridge Rd, Greenwich, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245006147
  • Provider Enumeration Date: 11/30/2023
  • Last Update Date: 11/30/2023

Medical Identifiers

Medical identifiers for Dominique Rae Deangelis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245006147NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 031018 (New York)Secondary
363AM0700XPhysician Assistant - Medical 6374 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Rae Deangelis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dominique Rae Deangelis, PA-C
3 Anasville Rd,
Somers, NY 10589-2415

Ph: (845) 661-0100
Dominique Rae Deangelis, PA-C
5 Perryridge Rd,
Greenwich, CT 06830-4697

Ph: (203) 863-3000

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› Verified 3 days ago


Physician Assistant Nurses in Greenwich, CT

Ms. Lisa Violi, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2 And One Half Dearfield Drive, Greenwich, CT 06831
Phone: 203-861-9586    Fax: 203-861-9587
Leonid Bilenkin, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 55 Holly Hill Ln, 110, Greenwich, CT 06830
Phone: 203-863-4670    Fax: 203-863-4674
Sebring Oliver Sands, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 6 Greenwich Office Park, Greenwich, CT 06831
Phone: 203-869-1145    
Ariana Wong Won,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6 Greenwich Office Park, Greenwich, CT 06831
Phone: 203-869-1145    Fax: 203-618-1721
Mrs. Melissa Colsant, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5 Perryridge Rd, Greenwich, CT 06830
Phone: 203-863-3906    
Eunjin Park, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5 Perryridge Rd, Greenwich, CT 06830
Phone: 914-282-9880    
Susan Paul, P.A.
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 6 Greenwich Office Park, Greenwich, CT 06831
Phone: 203-869-1145    Fax: 203-618-1721

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