Elizabeth Genovese, | |
38 Old Ridgebury Rd, Danbury, CT 06810-5128 | |
(203) 792-4515 | |
(203) 748-2604 |
Full Name | Elizabeth Genovese |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 38 Old Ridgebury Rd, Danbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902209471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 002530 (Connecticut) | Primary |
Entity Name | Optum Behavioral Care Of Connecticut Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164203238 PECOS PAC ID: 9436502879 Enrollment ID: O20240201001054 |
Mailing Address | Practice Location Address |
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Elizabeth Genovese, 38 Old Ridgebury Rd, Danbury, CT 06810-5128 Ph: (203) 792-4515 | Elizabeth Genovese, 38 Old Ridgebury Rd, Danbury, CT 06810-5128 Ph: (203) 792-4515 |
Nick Nelson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-360-2889 Fax: 203-332-3271 | |
Haley Mozonski, Counselor Medicare: Medicare Enrolled Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689 | |
Mrs. Carolyn Cunningham, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 72 North St, Suite 205, Danbury, CT 06810 Phone: 203-794-1044 Fax: 203-743-1110 | |
Ashley Seltzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West Street, Danbury, CT 06810 Phone: 203-205-2618 | |
Ms. Donna Gail Harrison-patton, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689 | |
Mr. John Joseph Gordon, Jr., CASAC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 Virginia Ave, Unit 7, Danbury, CT 06810 Phone: 917-309-2067 | |
Patrice Romans Moncuse, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Mill Plain Rd Unit 26-3, Danbury, CT 06811 Phone: 203-297-2127 |