Chelsea Dawn Malinowski, | |
105 Carnegie Pl Ste 103, Fayetteville, GA 30214-5900 | |
(770) 716-7999 | |
(770) 716-8444 |
Full Name | Chelsea Dawn Malinowski |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 105 Carnegie Pl Ste 103, Fayetteville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659899375 | NPI | - | NPPES |
12.007207 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 12.007207 (Connecticut) | Primary |
Entity Name | Medical Home Alliance, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740527811 PECOS PAC ID: 6406096536 Enrollment ID: O20130712000249 |
Entity Name | Monogram Health Professional Services Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538883111 PECOS PAC ID: 0244608149 Enrollment ID: O20221128001413 |
Mailing Address | Practice Location Address |
---|---|
Chelsea Dawn Malinowski, 37 Bridlewood Rd, South Windsor, CT 06074-2513 Ph: (860) 424-6115 | Chelsea Dawn Malinowski, 105 Carnegie Pl Ste 103, Fayetteville, GA 30214-5900 Ph: (770) 716-7999 |
Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126 | |
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087 | |
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059 | |
Eleasa Milano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609 | |
Erin Dee Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238 | |
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501 | |
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038 |