Danil Anisimov, | |
20 Research Pkwy, Old Saybrook, CT 06475-4214 | |
(800) 370-3651 | |
(860) 510-0020 |
Full Name | Danil Anisimov |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 20 Research Pkwy, Old Saybrook, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114150984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4165 (Connecticut) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4165 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Connecticut Mental Health Specialists Inc | 0345130563 | 52 |
Entity Name | Connecticut Mental Health Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053362814 PECOS PAC ID: 0345130563 Enrollment ID: O20040319000165 |
Mailing Address | Practice Location Address |
---|---|
Danil Anisimov, 31 Richards Grove Rd, Quaker Hill, CT 06375-1524 Ph: () - | Danil Anisimov, 20 Research Pkwy, Old Saybrook, CT 06475-4214 Ph: (800) 370-3651 |
Katherine Lm Bender, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 Main St, Old Saybrook, CT 06475 Phone: 860-391-0474 Fax: 860-744-9894 | |
Catherine Catti, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 | |
Cheryl Cuozzo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1687 Boston Post Rd, Old Saybrook, CT 06475 Phone: 860-661-5976 Fax: 860-358-8664 | |
Marylou Cowles, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 | |
Laura Rydelek Fitzgerald, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Boston Post Rd, Old Saybrook, CT 06475 Phone: 734-732-7898 | |
Debora Ouellette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 |