Daedly Potusek, APRN | |
80 Phoenix Ave, Waterbury, CT 06702-1418 | |
(203) 756-8021 | |
Not Available |
Full Name | Daedly Potusek |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 80 Phoenix Ave, Waterbury, 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 |
---|---|---|---|
1578022166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 8133 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Staywell Health Care Inc. | 6305750480 | 32 |
Entity Name | Staywell Health Care Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154342335 PECOS PAC ID: 6305750480 Enrollment ID: O20031113000374 |
Entity Name | New Leaf Psychiatry Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063139202 PECOS PAC ID: 1850742024 Enrollment ID: O20240111004373 |
Mailing Address | Practice Location Address |
---|---|
Daedly Potusek, APRN 2661 Whitney Avenue, Hamden, CT 06518 Ph: () - | Daedly Potusek, APRN 80 Phoenix Ave, Waterbury, CT 06702-1418 Ph: (203) 756-8021 |
Charis Wipfler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 56 Franklin St, Waterbury, CT 06706 Phone: 860-709-6140 | |
Krista Phelan-wright, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 276 Highland Ave Ste 2a, Waterbury, CT 06708 Phone: 203-819-7220 | |
Denise Pratt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 Grandview Ave, Suite 210, Waterbury, CT 06708 Phone: 203-754-2535 Fax: 203-756-9921 | |
Mr. Elijah Caldwell, LCSW Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60 N Main St, 3rd Flr, Waterbury, CT 06702 Phone: 203-437-8896 | |
Mrs. Nancy Lou Kline, ANP/APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 Phone: 203-465-5292 Fax: 203-465-5296 | |
Monica Hughes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Scovill St, 3rd Floor, Waterbury, CT 06706 Phone: 203-709-3800 Fax: 203-709-3880 | |
Steven Paul Jeske, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 276 Highland Ave Ste A2, Waterbury, CT 06708 Phone: 203-819-7220 Fax: 203-819-7270 |