Dr Dwayne Alansier Hall, DNP | |
130 Division St, Derby, CT 06418-1326 | |
(203) 735-7421 | |
Not Available |
Full Name | Dr Dwayne Alansier Hall |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 130 Division St, Derby, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013624535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 011187 (Connecticut) | Secondary |
363L00000X | Nurse Practitioner | 0111887 (Connecticut) | Primary |
Entity Name | Preventative Healthcare Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528434115 PECOS PAC ID: 3375844566 Enrollment ID: O20151211001623 |
Entity Name | Emergency Physicians Of Connecticut Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902278906 PECOS PAC ID: 8820390214 Enrollment ID: O20151231000158 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200114001048 |
Mailing Address | Practice Location Address |
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Dr Dwayne Alansier Hall, DNP 239 Lewis St Apt 2, Bridgeport, CT 06605-1241 Ph: (203) 997-1756 | Dr Dwayne Alansier Hall, DNP 130 Division St, Derby, CT 06418-1326 Ph: (203) 735-7421 |
Carol Lauer, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 | |
Katherine N Bunger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Division St Fl 1, Derby, CT 06418 Phone: 203-732-1257 Fax: 203-732-2470 | |
Heather Eckenrode, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 | |
Tammie C Carey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7252 Fax: 203-732-1539 | |
Christie M Czarnecki, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7252 Fax: 203-732-1539 | |
Diana Bytyqi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Division Street, Derby, CT 06418 Phone: 203-735-3500 |