Kathleen A Ennis, APRN, DNPC | |
30 Orchard St, Cos Cob, CT 06807-2403 | |
(203) 253-2225 | |
(203) 869-4421 |
Full Name | Kathleen A Ennis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 29 Years |
Location | 30 Orchard St, Cos Cob, 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 |
---|---|---|---|
1750417358 | NPI | - | NPPES |
500000270 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 001317 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Liberation Programs Inc | 8729413604 | 7 |
Entity Name | Liberation Programs Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316067481 PECOS PAC ID: 8729413604 Enrollment ID: O20211028002480 |
Mailing Address | Practice Location Address |
---|---|
Kathleen A Ennis, APRN, DNPC 30 Orchard St, Cos Cob, CT 06807-2403 Ph: (203) 253-2225 | Kathleen A Ennis, APRN, DNPC 30 Orchard St, Cos Cob, CT 06807-2403 Ph: (203) 253-2225 |
Mrs. Maryellen Pachler Pachler Kennell, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 399 East Putnam Ave., 2nd Floor Suite #1, Cos Cob, CT 06807 Phone: 860-478-4134 Fax: 203-769-1366 | |
Melissa K Malone, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Salem St, Cos Cob, CT 06807 Phone: 203-622-6556 | |
Ann Mccue, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 River Rd, Cos Cob, CT 06807 Phone: 203-952-1509 | |
Terry Lynn Conrad, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 River Rd Unit 307, Cos Cob, CT 06807 Phone: 914-708-7222 | |
Jessica Ceci, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32 Harold St # B, Cos Cob, CT 06807 Phone: 917-684-3823 | |
Morgan Taylor O'neill, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 E Putnam Ave Ste 1b, Cos Cob, CT 06807 Phone: 203-489-5442 |