Karen D Sullivan, APRN | |
375 East Center Street, Manchester, CT 06040 | |
(860) 646-0166 | |
(860) 643-7574 |
Full Name | Karen D Sullivan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 29 Years |
Location | 375 East Center Street, Manchester, 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 |
---|---|---|---|
1881692812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 001637 (Connecticut) | Secondary |
363LF0000X | Nurse Practitioner - Family | 001637 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Manchester Memorial Hospital | Manchester, CT | Hospital |
Rockville General Hospital | Rockville, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prohealth Physicians Pc | 1355246950 | 217 |
Entity Name | Prohealth Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
---|---|
Karen D Sullivan, APRN Po Box 3249, 29 Naek Rd Suite 5, Vernon, CT 06066 Ph: (860) 896-1422 | Karen D Sullivan, APRN 375 East Center Street, Manchester, CT 06040 Ph: (860) 646-0166 |
Mrs. Sarah A Diramio, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4176 Fax: 860-649-5219 | |
Lynda R. Dunlop, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Joanna Mrozek, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Oak St, Manchester, CT 06040 Phone: 860-559-6867 | |
Melissa A Moynihan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 N Main St, Manchester, CT 06042 Phone: 860-528-1359 | |
Mrs. Michelle Louton Vanduinen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 587 Middle Tpke E, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Christina Marie Martin, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319b Main St, Manchester, CT 06040 Phone: 860-643-1607 | |
Andrew Lauzier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 Fax: 866-603-4163 |