Karen G Donovan, | |
55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | |
(800) 370-3651 | |
(877) 515-7147 |
Full Name | Karen G Donovan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 55 Hatchetts Hill Rd, Old Lyme, 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 |
---|---|---|---|
1154591394 | NPI | - | NPPES |
008046486 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 712085 (Texas) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 004648 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harvest Healthcare Llc | 9931276979 | 57 |
Entity Name | Medop Behavioral Health Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053360677 PECOS PAC ID: 8224047568 Enrollment ID: O20060413000331 |
Entity Name | Harvest Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477712917 PECOS PAC ID: 9931276979 Enrollment ID: O20080917000499 |
Mailing Address | Practice Location Address |
---|---|
Karen G Donovan, 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 Ph: (800) 370-3651 | Karen G Donovan, 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 Ph: (800) 370-3651 |
Amy Beth Weldon-beardslee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300 Fax: 860-865-2388 | |
Gabriell Budoff, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 877-515-7147 | |
Ms. Linda K Stanley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Neck Rd, Old Lyme, CT 06371 Phone: 860-227-8775 | |
Teresa Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 877-515-7147 | |
Kathryn Ann Fallon, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Ascot Ln, Old Lyme, CT 06371 Phone: 860-434-1008 | |
Kristina Flores, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 |