Jillene Bonet, | |
764 Campbell Ave Ste F, West Haven, CT 06516-3786 | |
(203) 443-9500 | |
(203) 902-0509 |
Full Name | Jillene Bonet |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 764 Campbell Ave Ste F, West Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750991162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9311 (Connecticut) | Primary |
Entity Name | Livwell Pain Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942866793 PECOS PAC ID: 3476883265 Enrollment ID: O20190920001641 |
Mailing Address | Practice Location Address |
---|---|
Jillene Bonet, 271 Shady Hill Rd, Fairfield, CT 06824-7345 Ph: () - | Jillene Bonet, 764 Campbell Ave Ste F, West Haven, CT 06516-3786 Ph: (203) 443-9500 |
Ms. Michele V Coral, APRN,CS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave # 116-a, West Haven, CT 06516 Phone: 203-932-5711 | |
Susan Marchitto, PNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Cove Brook Rd, West Haven, CT 06516 Phone: 203-641-0765 | |
Allison Marie Altenburger, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Cellini Pl Ste 102, West Haven, CT 06516 Phone: 203-932-6481 Fax: 203-932-4051 | |
Christine B Paranal, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Arlington St, West Haven, CT 06516 Phone: 203-934-2691 | |
Olutoyin Adesola, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 687 Campbell Ave, West Haven, CT 06516 Phone: 203-932-6481 | |
Ms. Clarice Elizabeth Grens, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Tracie Nalley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 687 Campbell Ave, West Haven, CT 06516 Phone: 203-932-6481 |