Rachel A Russo, | |
2 Waterside Xing Ste 401, Windsor, CT 06095-1588 | |
(860) 731-5522 | |
(860) 731-5536 |
Full Name | Rachel A Russo |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2 Waterside Xing Ste 401, Windsor, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518489517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Prospect Manchester Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
Mailing Address | Practice Location Address |
---|---|
Rachel A Russo, 2 Waterside Xing Ste 401, Windsor, CT 06095-1588 Ph: (860) 731-5522 | Rachel A Russo, 2 Waterside Xing Ste 401, Windsor, CT 06095-1588 Ph: (860) 731-5522 |
Destiny Grant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 995 Day Hill Rd, Windsor, CT 06095 Phone: 860-731-5522 Fax: 860-731-5536 | |
Joyce A Erickson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1343 Hillside Cir, Windsor, CT 06095 Phone: 860-707-9438 | |
Nardine Staroverov, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Maple Ave Ste C, Windsor, CT 06095 Phone: 860-593-4908 | |
Valerie Barrett-noel, Counselor Medicare: Medicare Enrolled Practice Location: 600 W Wolcott Ave, Windsor, CT 06095 Phone: 860-794-0652 | |
Antonette Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 995 Day Hill Rd, Windsor, CT 06095 Phone: 860-731-5522 Fax: 860-731-5536 | |
Mrs. Rosanna Z Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Kellogg St, Windsor, CT 06095 Phone: 860-219-1029 | |
Mr. Derek James Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Bloomfield Ave Ste 301, Windsor, CT 06095 Phone: 860-471-3819 |