Jacqueline Baker, APRN | |
134 State St, Meriden, CT 06450-3293 | |
(203) 237-2229 | |
(203) 686-1677 |
Full Name | Jacqueline Baker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 134 State St, Meriden, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548477433 | NPI | - | NPPES |
004235900 | Medicaid | CT | |
004236346 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 002812 (Connecticut) | Secondary |
363LF0000X | Nurse Practitioner - Family | 002812 (Connecticut) | Primary |
Entity Name | Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Baker, APRN 575 Main Street 2nd Floor, Attn; Credentialing Dept, Middletown, CT 06457 Ph: (860) 347-6971 | Jacqueline Baker, APRN 134 State St, Meriden, CT 06450-3293 Ph: (203) 237-2229 |
Marta Fedorko, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 | |
Jeannie Mcintosh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677 | |
Jessica M. Martin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 482 S Broad St, Meriden, CT 06450 Phone: 203-439-4485 | |
Felistas Mazhandu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53 Church Hill Chase, Meriden, CT 06450 Phone: 860-797-0572 | |
Miss Itoro Joseph Etim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 816 Broad St, Meriden, CT 06450 Phone: 203-238-1125 | |
Ingrid Teixeira Furchi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 816 Broad St, Meriden, CT 06450 Phone: 203-238-1125 | |
Mrs. Jennie Christine Gore, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 Lewis Ave Ste 208, Meriden, CT 06451 Phone: 203-238-2691 |