| Meditelecare Of Connecticut Pllc | |
|
213 Court St Fl 6 Middletown CT 06457-3346 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Meditelecare Of Connecticut Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 213 Court St Fl 6, Middletown, Connecticut |
| Authorized Official Name and Position | Teresa Trojanowski (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meditelecare Of Connecticut Pllc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Meditelecare Of Connecticut Pllc 213 Court St Fl 6 Middletown CT 06457-3346 Ph: (860) 788-6404 |
| NPI Number | 1699365007 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 01/20/2021 |
| Certification Date | 01/20/2021 |
| Medicare PECOS PAC ID | 9830504786 |
|---|---|
| Medicare Enrollment ID | O20210226001356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699365007 | NPI | - | NPPES |
| Provider Name | John Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023256930 PECOS PAC ID: 7416986781 Enrollment ID: I20090622000411 |
| Provider Name | Eric Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417960337 PECOS PAC ID: 4688714702 Enrollment ID: I20091222000400 |
| Provider Name | Sarah Bione-dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356579395 PECOS PAC ID: 9032438171 Enrollment ID: I20150512001267 |
| Provider Name | Lauren Linn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023780681 PECOS PAC ID: 9234527581 Enrollment ID: I20211019003071 |
| Provider Name | Kerry O'hara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265989438 PECOS PAC ID: 5597043125 Enrollment ID: I20211227000229 |
| Provider Name | Michelle Segerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134554132 PECOS PAC ID: 2769614882 Enrollment ID: I20220810002638 |
| Provider Name | Dionne Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902846926 PECOS PAC ID: 5496790602 Enrollment ID: I20221025003028 |
| Provider Name | Lauren Mcmiller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093374498 PECOS PAC ID: 2961737937 Enrollment ID: I20221117003092 |
| Provider Name | Timothy Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740346253 PECOS PAC ID: 7810218658 Enrollment ID: I20230124002126 |
| Provider Name | Tarah Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962128686 PECOS PAC ID: 6800268293 Enrollment ID: I20230213001125 |
| Provider Name | Kathleen Tallent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528238698 PECOS PAC ID: 5991874455 Enrollment ID: I20230216000749 |
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