| Pursuecare Connecticut Pc | |
|
101 Centerpoint Dr Ste 105 Middletown CT 06457-7568 | |
| (860) 317-5251 | |
| (860) 469-2766 |
| Full Name | Pursuecare Connecticut Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 Centerpoint Dr Ste 105, Middletown, Connecticut |
| Authorized Official Name and Position | Melissa King (AUTHORIZED) |
| Authorized Official Contact | 8603226712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pursuecare Connecticut Pc 101 Centerpoint Dr Ste 105 Middletown CT 06457-7568 Ph: (860) 317-5251 | Pursuecare Connecticut Pc 101 Centerpoint Dr Ste 105 Middletown CT 06457-7568 Ph: (860) 317-5251 |
| NPI Number | 1003443185 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Medicare PECOS PAC ID | 8224469606 |
|---|---|
| Medicare Enrollment ID | O20200519002517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003443185 | 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 | Zoe Prowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538550785 PECOS PAC ID: 9133493893 Enrollment ID: I20230421001398 |
| Provider Name | Carol Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639347594 PECOS PAC ID: 8628145042 Enrollment ID: I20230607002137 |
| Provider Name | James R Ulager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033233507 PECOS PAC ID: 3072611235 Enrollment ID: I20230619001038 |
| Provider Name | Jennifer Uhl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588825574 PECOS PAC ID: 0648342352 Enrollment ID: I20230808002189 |
| Provider Name | Maria Waterbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386276442 PECOS PAC ID: 9638500689 Enrollment ID: I20231003003311 |
| Provider Name | Erin Hodge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154875359 PECOS PAC ID: 8729344965 Enrollment ID: I20231108001367 |
| Provider Name | Charles Janssens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20231222001666 |
| 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 | Felix Nicolas Rodriguez |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1235577164 PECOS PAC ID: 5092038513 Enrollment ID: I20240214003034 |
| Provider Name | Jennifer Shoreman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447458344 PECOS PAC ID: 8527212638 Enrollment ID: I20240223002224 |
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