Shannon B. Beausoleil I
MD | Pediatrics | Female
Shannon B. Beausoleil I, MD is a West Hartford, Connecticut based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shannon B. Beausoleil I is
1216 Farmington Ave Ste 202, West Hartford, Connecticut - 06107-2673. She can be contacted on phone at
860-236-0331 and fax number 860-263-8697.
Shannon B. Beausoleil I is a sole proprietor of her business.
NPI number (Unique professional ID) for Shannon B. Beausoleil I is
1942291653 which was assigned by NPPES on 02 Nov, 2005 and it was last updated on 22 Jun, 2021.
Shannon B. Beausoleil I license number is
043733 for Pediatrics (208000000X) in Connecticut.
Shannon B. Beausoleil I is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shannon B. Beausoleil I basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shannon B. Beausoleil I |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Shannon B. Beausoleil I address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1216 Farmington Ave Ste 202
West Hartford, CT, 06107-2673
United States |
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| Phone Number : | 860-236-0331 |
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| Fax Number : | 860-263-8697 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942291653 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Nov, 2005 |
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| Last Updated On : | 22 Jun, 2021 |
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Medicare Participation:
Shannon B. Beausoleil I participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2961395660 |
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| Medicare Enrollment ID : | I20060127000149 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | University Of Connecticut School Of Medicine |
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| Graduation Year : | 1994 |
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| Accepts Medicare? | Yes. Shannon B. Beausoleil I accepts medicare insurance. |
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Group Practice Association:
Shannon B. Beausoleil I is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Shannon B. Beausoleil I is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Collins Medical Associates 2 Pc | 3779486345 | 35 | 1216 Farmington Ave
Suite 202
West Hartford, CT - 061072673
Ph: 8602360331 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon B. Beausoleil I are as mentioned. Primary taxonomy code for Shannon B. Beausoleil I, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 043733 | CT |
| 208000000X | Pediatrics | Yes | 043733 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Shannon B. Beausoleil I such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 218498 | Other | MA | CONNECTICARE |
| 3352025 | Other | MA | AETNA |
| 1302469 | MEDICAID | MA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | sbeausoleil12499@direct.stfranciscare.org
Saint Francis Direct address | No affiliation | DIRECT
Direct
| OTHER
Other
CCD | 1216 FARMINGTON AVE STE 202,
WEST HARTFORD, CT, 06107-2673
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1216 Farmington Ave Ste 202
West Hartford, CT, 06107-2673
United States |
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| Phone Number : | 860-236-0331 |
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| Fax Number : | 860-263-8697 |
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Business Location:
Patients can refer following map for directions to
Shannon B. Beausoleil I practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.