Gina F Lidestri, PA - Physician Assistant in Bristol, CT

Gina F Lidestri, PA is a Physician Assistant - Medical based in Bristol, Connecticut. Gina F Lidestri is licensed to practice in Connecticut (license number 001942) and her current practice location is 41 Brewster Rd, Bristol, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 585-3313.

NPI number for Gina F Lidestri is 1043403868 and her current mailing address is 41 Brewster Rd, Bristol, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043403868.

Contact Information

Gina F Lidestri, PA
41 Brewster Rd,
Bristol, CT 06010-5161
(860) 585-3313
Not Available



Provider's Profile

Full NameGina F Lidestri
GenderFemale
SpecialityPhysician Assistant - Medical
Location41 Brewster Rd, Bristol, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043403868
  • Provider Enumeration Date: 08/24/2007
  • Last Update Date: 01/21/2012

Medical Identifiers

Medical identifiers for Gina F Lidestri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043403868NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 001942 (Connecticut)Secondary
363AM0700XPhysician Assistant - Medical 001942 (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. Gina F Lidestri 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
Gina F Lidestri, PA
41 Brewster Rd,
Bristol, CT 06010-5161

Ph: (860) 585-3313
Gina F Lidestri, PA
41 Brewster Rd,
Bristol, CT 06010-5161

Ph: (860) 585-3313

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Physician Assistant Nurses in Bristol, CT

Ashley Anne Proulx, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 22 Pine St Ste 104, Bristol, CT 06010
Phone: 860-584-8291    
Mr. Joseph Claude Labell Jr., MHS, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Farmington Ave, Bristol, CT 06010
Phone: 860-589-4501    
Shelby Spazzarini, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 25 Collins Rd, Bristol, CT 06010
Phone: 860-589-8882    Fax: 860-585-8898
Erica Stolarz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 41 Brewster Rd, Bristol, CT 06010
Phone: 860-585-3000    
Christopher Tagliavini, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 22 Pine St, Bristol, CT 06010
Phone: 860-584-8291    Fax: 860-584-8354
Alexandra Villalba, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 240 Main St, Bristol, CT 06010
Phone: 860-585-3469    

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