Aericka Robyn Khongdy, APRN | |
320 Western Blvd Ste 104, Glastonbury, CT 06033-1276 | |
(860) 657-5940 | |
Not Available |
Full Name | Aericka Robyn Khongdy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 320 Western Blvd Ste 104, Glastonbury, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710234448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 005063 (Connecticut) | Secondary |
363L00000X | Nurse Practitioner | 005063 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bristol Hospital | Bristol, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prohealth Physicians Pc | 1355246950 | 217 |
Bristol Hospital Multi-specialty Group, Inc. | 9032014758 | 116 |
Entity Name | Bristol Hospital Multi-specialty Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649265679 PECOS PAC ID: 9032014758 Enrollment ID: O20031204000960 |
Entity Name | Prohealth Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
---|---|
Aericka Robyn Khongdy, APRN 120 Webster Square Rd, Berlin, CT 06037-2329 Ph: (860) 829-0707 | Aericka Robyn Khongdy, APRN 320 Western Blvd Ste 104, Glastonbury, CT 06033-1276 Ph: (860) 657-5940 |
Madison Lee Corsini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 | |
Ms. Amanda Marie Swan, APRN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Welles St Ste 215, Glastonbury, CT 06033 Phone: 860-325-2679 Fax: 860-316-4064 | |
Dr. Bharat Bhushan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 241 Paxton Way, Glastonbury, CT 06033 Phone: 860-593-0920 | |
Nicole Fearon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 | |
Jennifer Freeman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2520 Main St, Glastonbury, CT 06033 Phone: 860-968-0430 Fax: 860-968-0431 | |
Tracy Sibley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Hebron Ave, Glastonbury, CT 06033 Phone: 860-383-3860 | |
Mrs. Sabienne Emilie Legros, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 |