Generations Family Health Center, Inc. | |
40 Mansfield Ave Willimantic CT 06226-2018 | |
(860) 450-7471 | |
Not Available |
Full Name | Generations Family Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 40 Mansfield Ave, Willimantic, Connecticut |
Authorized Official Name and Position | Arvind Shaw (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8604507456 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Generations Family Health Center, Inc. 40 Mansfield Ave Willimantic CT 06226-2018 Ph: (860) 450-7471 | Generations Family Health Center, Inc. 40 Mansfield Ave Willimantic CT 06226-2018 Ph: (860) 450-7471 |
NPI Number | 1346228905 |
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Provider Enumeration Date | 01/04/2006 |
Last Update Date | 04/18/2012 |
Medicare PECOS PAC ID | 4880640630 |
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Medicare Enrollment ID | O20050324000979 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346228905 | NPI | - | NPPES |
004235687 | Medicaid | CT | |
004235695 | Medicaid | CT | |
008003942 | Medicaid | CT |
Provider Name | John M De Figueiredo |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942271739 PECOS PAC ID: 8123915758 Enrollment ID: I20040301000040 |
Provider Name | Ciro Massa |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497834428 PECOS PAC ID: 4385614379 Enrollment ID: I20040728000117 |
Provider Name | Jyothirmayee Korivi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780663112 PECOS PAC ID: 8527014836 Enrollment ID: I20050329001078 |
Provider Name | Irene Abramovich |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407864887 PECOS PAC ID: 0749226660 Enrollment ID: I20050630000865 |
Provider Name | Uzma Zaidi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942289228 PECOS PAC ID: 3678508504 Enrollment ID: I20050929000514 |
Provider Name | Colleen M Casey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902885338 PECOS PAC ID: 6901812205 Enrollment ID: I20060223000454 |
Provider Name | Susan C Daly |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396797858 PECOS PAC ID: 7315966595 Enrollment ID: I20060717000335 |
Provider Name | Catherine Shafts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578676862 PECOS PAC ID: 9739269531 Enrollment ID: I20080107000403 |
Provider Name | Tina Lekacos |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437183985 PECOS PAC ID: 3678657798 Enrollment ID: I20080228000304 |
Provider Name | Morton Glasser |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053390500 PECOS PAC ID: 5698848331 Enrollment ID: I20080714000643 |
Provider Name | Kara Anastasiou |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558508861 PECOS PAC ID: 0143354878 Enrollment ID: I20100817001301 |
Provider Name | Eugene Fantl |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1255337465 PECOS PAC ID: 5799800710 Enrollment ID: I20100915000103 |
Provider Name | Dana Wiseman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811930795 PECOS PAC ID: 3870785017 Enrollment ID: I20101007000011 |
Provider Name | Carol A Carlino |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184860546 PECOS PAC ID: 5193863199 Enrollment ID: I20120524000106 |
Provider Name | Jeffrey A Schneider |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023178605 PECOS PAC ID: 1052575644 Enrollment ID: I20120612000038 |
Provider Name | Jenna E Purdell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184902967 PECOS PAC ID: 4486824059 Enrollment ID: I20121217000242 |
Provider Name | Abby Ann Gloria |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265785299 PECOS PAC ID: 7618117656 Enrollment ID: I20130715000764 |
Provider Name | Ronald Kelly |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1760430110 PECOS PAC ID: 1456585959 Enrollment ID: I20131017000453 |
Provider Name | Nicole Taylor |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1467553313 PECOS PAC ID: 1557598158 Enrollment ID: I20131205000547 |
Provider Name | Rachael Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275966442 PECOS PAC ID: 9436380482 Enrollment ID: I20140317000397 |
Provider Name | Jennifer Mendes Hramiak |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811129174 PECOS PAC ID: 9133360472 Enrollment ID: I20140317000909 |
Provider Name | Danielle Digeronimo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598070989 PECOS PAC ID: 4789815648 Enrollment ID: I20140319000228 |
Provider Name | Ralph Hirschfeld |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144523077 PECOS PAC ID: 1658693742 Enrollment ID: I20141126001513 |
Provider Name | Rebecca L. Russo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093119216 PECOS PAC ID: 5991028243 Enrollment ID: I20141218000516 |
Provider Name | Lisa Decarlo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528467016 PECOS PAC ID: 5496078560 Enrollment ID: I20141222000166 |
Provider Name | Charity Mcclure |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366875007 PECOS PAC ID: 3678701414 Enrollment ID: I20150430001011 |
Provider Name | Joaquin Carral |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285949735 PECOS PAC ID: 9537480660 Enrollment ID: I20150602000588 |
Provider Name | Erica Anna Lyons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265821581 PECOS PAC ID: 4486975240 Enrollment ID: I20150604001715 |
Provider Name | Brett Robertson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194100065 PECOS PAC ID: 5395052542 Enrollment ID: I20150921001198 |
Provider Name | Kate O Logan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447500723 PECOS PAC ID: 1759699465 Enrollment ID: I20150930000197 |
Provider Name | Melissa A Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679959530 PECOS PAC ID: 1052629433 Enrollment ID: I20151005001855 |
Provider Name | Marie Louise Malboeuf |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770844904 PECOS PAC ID: 5799080800 Enrollment ID: I20160229000556 |
Provider Name | Ann M Kabza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649645292 PECOS PAC ID: 2062702061 Enrollment ID: I20160603000565 |
Provider Name | Pamela Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871040675 PECOS PAC ID: 9234427162 Enrollment ID: I20161010001354 |
Provider Name | Carina Holmgren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730636408 PECOS PAC ID: 9032407366 Enrollment ID: I20161019001253 |
Provider Name | Rhiannon Doherty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295073542 PECOS PAC ID: 2466696067 Enrollment ID: I20161128001469 |
Provider Name | Laura Sabourin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487109617 PECOS PAC ID: 7618257536 Enrollment ID: I20161212002174 |
Provider Name | Allan Dierman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912458704 PECOS PAC ID: 2860772480 Enrollment ID: I20161216001013 |
Provider Name | Nicole Marden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003359720 PECOS PAC ID: 5395029706 Enrollment ID: I20170303000178 |
Provider Name | Pamala Standfest |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528036258 PECOS PAC ID: 2668744434 Enrollment ID: I20170815001635 |
Provider Name | Allissa K Joseph |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487179818 PECOS PAC ID: 7618240219 Enrollment ID: I20170901001689 |
Provider Name | Steven Fitch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700301710 PECOS PAC ID: 7315212289 Enrollment ID: I20171003003925 |
Provider Name | Susie Bernado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295244135 PECOS PAC ID: 9739445461 Enrollment ID: I20171113001064 |
Provider Name | Leah Mcgennis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356742712 PECOS PAC ID: 9335405794 Enrollment ID: I20171117002186 |
Provider Name | Jennifer M. Bernache |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619494945 PECOS PAC ID: 9537427562 Enrollment ID: I20171221001754 |
Provider Name | Laurel N Slongwhite |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427206283 PECOS PAC ID: 8123189032 Enrollment ID: I20180126001743 |
Provider Name | Willa M Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891208039 PECOS PAC ID: 5799046348 Enrollment ID: I20180223000211 |
Provider Name | Catherine A Moonan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316454234 PECOS PAC ID: 0345503967 Enrollment ID: I20180413000226 |
Provider Name | Emmanuela Chery |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225534266 PECOS PAC ID: 0042569725 Enrollment ID: I20180814003755 |
Provider Name | Cristine Donaruma |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609394584 PECOS PAC ID: 6709136245 Enrollment ID: I20180905000911 |
Provider Name | Adriana Shea Godfrey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073006581 PECOS PAC ID: 5092065987 Enrollment ID: I20180914001159 |
Provider Name | Victoria A Bergeson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447730916 PECOS PAC ID: 6800148693 Enrollment ID: I20181005000126 |
Provider Name | Christine Louise Rosales |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710482104 PECOS PAC ID: 7012251770 Enrollment ID: I20181206001071 |
Provider Name | Brittany Lee Besse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891265518 PECOS PAC ID: 3375880271 Enrollment ID: I20190131000688 |
Provider Name | Stephen Zombil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780165498 PECOS PAC ID: 2668796574 Enrollment ID: I20190228002746 |
Provider Name | Chinwendu Jennifer Chukwudike |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982176020 PECOS PAC ID: 0840531182 Enrollment ID: I20190415000365 |
Provider Name | Terry Ann Holybee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629552211 PECOS PAC ID: 9830422245 Enrollment ID: I20190617002236 |
Provider Name | Susana T Doolittle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942688486 PECOS PAC ID: 3870827876 Enrollment ID: I20190625003117 |
Provider Name | Sherri Anne Ericksen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639201726 PECOS PAC ID: 6901972116 Enrollment ID: I20190708000587 |
Provider Name | Joseph Hana Oh |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1366620031 PECOS PAC ID: 2466619606 Enrollment ID: I20190716000932 |
Provider Name | Heidi Marie Tucker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871905018 PECOS PAC ID: 9830493436 Enrollment ID: I20190722002295 |
Provider Name | Tia Maria Estrella Acosta |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679582167 PECOS PAC ID: 6608770961 Enrollment ID: I20190726001239 |
Provider Name | Agatha Cretzu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205322757 PECOS PAC ID: 5799017877 Enrollment ID: I20191022001636 |
Provider Name | Marcel Bavoux |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508990557 PECOS PAC ID: 6103719968 Enrollment ID: I20200302000425 |
Provider Name | Ariye M Krassner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104442771 PECOS PAC ID: 8729404884 Enrollment ID: I20200819003051 |
Provider Name | Marcia Jarvis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699963744 PECOS PAC ID: 3779993332 Enrollment ID: I20201110002353 |
Provider Name | Katelyn Marie Marchie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942823836 PECOS PAC ID: 8224442900 Enrollment ID: I20210121001405 |
Provider Name | Julie Ruthann Renfro |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902315070 PECOS PAC ID: 7618383928 Enrollment ID: I20210311002031 |
Provider Name | Kipp Spencer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013390517 PECOS PAC ID: 9830508696 Enrollment ID: I20210506002056 |
Provider Name | Katrina Sivo-souza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124557756 PECOS PAC ID: 8628342623 Enrollment ID: I20210617001145 |
Provider Name | Shawna Salce-pellerin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871160390 PECOS PAC ID: 3173923745 Enrollment ID: I20210618000975 |
Provider Name | Dahiana Rivera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689348740 PECOS PAC ID: 7719382399 Enrollment ID: I20210819001620 |
Provider Name | Nancy Albert |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235795360 PECOS PAC ID: 4082010889 Enrollment ID: I20210902000452 |
Provider Name | Jessica Uihlein |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265105944 PECOS PAC ID: 4385040971 Enrollment ID: I20210907002785 |
Provider Name | Kristen Marie Pempek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346915279 PECOS PAC ID: 9032515432 Enrollment ID: I20210910000432 |
Provider Name | Elena Zarcaro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720757354 PECOS PAC ID: 9234535345 Enrollment ID: I20210914003146 |
Provider Name | Maura Reynolds |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760153993 PECOS PAC ID: 4284023482 Enrollment ID: I20211109002392 |
Provider Name | Laura Davis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891246567 PECOS PAC ID: 2860634243 Enrollment ID: I20211110001201 |
Provider Name | Shaina Forte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467123687 PECOS PAC ID: 4385033208 Enrollment ID: I20211116000643 |
Provider Name | Elisabeth Parcinski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366030066 PECOS PAC ID: 5294111076 Enrollment ID: I20220930002500 |
Provider Name | Heather Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669108890 PECOS PAC ID: 6204212764 Enrollment ID: I20221006001174 |
Provider Name | Rachell Laureena Farnham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164146171 PECOS PAC ID: 7012384761 Enrollment ID: I20221109000987 |
Provider Name | Tara Bergeron |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548870074 PECOS PAC ID: 8123480845 Enrollment ID: I20230811003212 |
Provider Name | Amelia Yvonne Garrison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295416105 PECOS PAC ID: 9638532930 Enrollment ID: I20230905002336 |
Provider Name | Aide Perez |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1497335947 PECOS PAC ID: 4981056272 Enrollment ID: I20240123001974 |
Provider Name | Kerry Silva |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1487011680 PECOS PAC ID: 5496107641 Enrollment ID: I20240123004132 |
Provider Name | Kaleena Crooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639717408 PECOS PAC ID: 0941610968 Enrollment ID: I20240320000172 |
Provider Name | Jacqueline Proulx |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1972849255 PECOS PAC ID: 0749620474 Enrollment ID: I20240429002815 |
John W Stevens Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1581 Main St, Willimantic, CT 06226 Phone: 860-456-3214 | |
Generations Family Health Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 | |
Radianz Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Main St Unit B, Willimantic, CT 06226 Phone: 860-576-8329 | |
Windham Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1671 Main St, Willimantic, CT 06226 Phone: 860-456-3153 | |
Mcsweeney Regional Senior Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 Crescent St, Willimantic, CT 06226 Phone: 860-423-4524 Fax: 860-450-1665 | |
Gary L. Berman, D.m.d.,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Main St, Willimantic, CT 06226 Phone: 860-423-5518 Fax: 860-456-1617 |