Mrs Tina Katsarikas Mcgillicuddy, APRN NURSE PRACTITIO is a
Nurse Practitioner - Pediatrics based in New Haven, Connecticut. Mrs Tina Katsarikas Mcgillicuddy is licensed to practice in Connecticut (license number 003531) and her current practice location is
400 Columbus Ave, New Haven, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 503-3250.
NPI number for Mrs Tina Katsarikas Mcgillicuddy is 1467585414 and her current mailing address is 400 Columbus Ave, New Haven, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467585414.
Healthcare Provider's Profile
| Full Name | Mrs Tina Katsarikas Mcgillicuddy |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Pediatrics |
|---|
| Location | 400 Columbus Ave, New Haven, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467585414
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 12/12/2011
Medical Identifiers
Medical identifiers for Mrs Tina Katsarikas Mcgillicuddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467585414 | NPI | - | NPPES |
| 004235900 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 151957 (Tennessee) | Secondary |
| 163W00000X | Registered Nurse | 079084 (Connecticut) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 003531 (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. Mrs Tina Katsarikas Mcgillicuddy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Tina Katsarikas Mcgillicuddy, APRN NURSE PRACTITIO
400 Columbus Ave,
New Haven, CT 06519-1233
Ph: (203) 503-3250 | Mrs Tina Katsarikas Mcgillicuddy, APRN NURSE PRACTITIO
400 Columbus Ave,
New Haven, CT 06519-1233
Ph: (203) 503-3250 |
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