| Wellness Center | |
|
166 Albany Tpke Ste 6 Canton CT 06019-2546 | |
| (860) 519-6537 | |
| Not Available |
| Full Name | Wellness Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 166 Albany Tpke Ste 6, Canton, Connecticut |
| Authorized Official Name and Position | Jaimie Machado (OWNER/ APRN) |
| Authorized Official Contact | 8605196537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Center 104 Robin Dr Collinsville CT 06019-3728 Ph: (860) 519-6537 | Wellness Center 166 Albany Tpke Ste 6 Canton CT 06019-2546 Ph: (860) 519-6537 |
| NPI Number | 1639890056 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 01/16/2024 |
| Certification Date | 11/02/2022 |
| Medicare PECOS PAC ID | 8224408299 |
|---|---|
| Medicare Enrollment ID | O20230109001393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639890056 | NPI | - | NPPES |
| Provider Name | Jaimie M Machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841700226 PECOS PAC ID: 5395006068 Enrollment ID: I20180221002280 |
| Provider Name | Maria Elena Slajda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194209213 PECOS PAC ID: 3870847932 Enrollment ID: I20181108002477 |
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