Shahana Lee Theriault, PA-C - Medicare Physician Assistant in Hamden, CT

Shahana Lee Theriault, PA-C is a medicare enrolled "Physician Assistant" in Hamden, Connecticut. Her current practice location is 2408 Whitney Ave, Hamden, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 407-3500.

Shahana Lee Theriault is licensed to practice in Connecticut (license number 3231) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114322153.

Contact Information

Shahana Lee Theriault, PA-C
2408 Whitney Ave,
Hamden, CT 06518-3209
(203) 407-3500
(203) 407-4244



Provider's Profile

Full NameShahana Lee Theriault
GenderFemale
SpecialityPhysician Assistant
Location2408 Whitney Ave, Hamden, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114322153
  • Provider Enumeration Date: 11/04/2014
  • Last Update Date: 05/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284957424
  • Enrollment ID: I20141219001572

Medical Identifiers

Medical identifiers for Shahana Lee Theriault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114322153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3231 (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. Shahana Lee Theriault is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shahana Lee Theriault, PA-C
2408 Whitney Ave,
Hamden, CT 06518-3209

Ph: (203) 626-0160
Shahana Lee Theriault, PA-C
2408 Whitney Ave,
Hamden, CT 06518-3209

Ph: (203) 407-3500

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Physician Assistant Nurses in Hamden, CT

Carly Rumanoff, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3588 Whitney Ave, Hamden, CT 06518
Phone: 203-288-2550    
Ms. Keribeth R Searcy, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 2165 Dixwell Ave, Hamden, CT 06514
Phone: 855-349-2828    
Nina Tufaro, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 925 Mix Ave Apt 1d, Hamden, CT 06514
Phone: 631-987-5439    
Allison Marie Wick, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 275 Mount Carmel Ave, Hamden, CT 06518
Phone: 203-582-8200    
Jessica Nursick,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1952 Whitney Ave, Hamden, CT 06517
Phone: 203-848-1803    
Marcy Ann Carrera, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 275 Mount Carmel Ave Bldg 4, Hamden, CT 06518
Phone: 203-582-8545    
Douglas A Stitz, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Whitney Ave, Suite 180, Hamden, CT 06518
Phone: 203-407-2500    Fax: 203-407-5812

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