| Pai Ct Pllc | |
|
101 Centerpoint Dr Ste 105 Middletown CT 06457-7568 | |
| (860) 322-6712 | |
| (860) 706-8151 |
| Full Name | Pai Ct Pllc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 101 Centerpoint Dr Ste 105, Middletown, Connecticut |
| Authorized Official Name and Position | Melissa King (DIRECTOR) |
| Authorized Official Contact | 8603226712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Ct Pllc 101 Centerpoint Dr Ste 105 Middletown CT 06457-7568 Ph: (860) 322-6712 | Pai Ct Pllc 101 Centerpoint Dr Ste 105 Middletown CT 06457-7568 Ph: (860) 322-6712 |
| NPI Number | 1841027653 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 9830620178 |
|---|---|
| Medicare Enrollment ID | O20240927000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841027653 | NPI | - | NPPES |
| Provider Name | Mekeesha Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053517946 PECOS PAC ID: 0749347987 Enrollment ID: I20180912003757 |
| Provider Name | Shannon Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255785515 PECOS PAC ID: 2163716291 Enrollment ID: I20220106000577 |
| Provider Name | Tamela Cook-mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699216192 PECOS PAC ID: 0143599613 Enrollment ID: I20220817002601 |
| Provider Name | Carol Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639347594 PECOS PAC ID: 8628145042 Enrollment ID: I20230607002137 |
| Provider Name | Maria Waterbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386276442 PECOS PAC ID: 9638500689 Enrollment ID: I20231003003311 |
| Provider Name | Erin Elisa Hodge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154875359 PECOS PAC ID: 8729344965 Enrollment ID: I20231108001367 |
| Provider Name | Heather Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083006340 PECOS PAC ID: 4981054236 Enrollment ID: I20231228001679 |
| Provider Name | Seth Crossan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336539881 PECOS PAC ID: 8820314636 Enrollment ID: I20240101000274 |
| Provider Name | Phyllis Mogielski Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295909851 PECOS PAC ID: 7315397403 Enrollment ID: I20240102003107 |
| Provider Name | Henry Luu |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1306864947 PECOS PAC ID: 6406025568 Enrollment ID: I20240720000308 |
| Provider Name | Seth Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467683300 PECOS PAC ID: 6507164506 Enrollment ID: I20240923003131 |
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