Kathleen Petrillo, CRNA | |
60 Wellington Rd, Milford, CT 06461-1600 | |
(203) 260-4519 | |
Not Available |
Full Name | Kathleen Petrillo |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 60 Wellington Rd, Milford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1649208182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 033758 (Pennsylvania) | Primary |
Entity Name | Bridgeport Anesthesia Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174549257 PECOS PAC ID: 7113824616 Enrollment ID: O20031215000038 |
Mailing Address | Practice Location Address |
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Kathleen Petrillo, CRNA 105 Montowese Trl, Wallingford, CT 06492-5713 Ph: (120) 367-1314 | Kathleen Petrillo, CRNA 60 Wellington Rd, Milford, CT 06461-1600 Ph: (203) 260-4519 |
Jane Staniewicz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 309 Seaside Ave, Suite201, Milford, CT 06460 Phone: 203-783-1831 | |
Georgina Salls, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 309 Seaside Ave, Suite201, Milford, CT 06460 Phone: 203-377-7568 | |
Patricia O'neil, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 309 Seaside Ave, Suite 201, Milford, CT 06460 Phone: 203-783-1831 | |
Mildred Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 309 Seaside Ave, Suite201, Milford, CT 06460 Phone: 203-783-1831 | |
Diane Mead, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 309 Seaside Ave, Suite201, Milford, CT 06460 Phone: 203-783-1831 | |
Cathy Mcdonough, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 309 Seaside Ave, Suirte 201, Milford, CT 06460 Phone: 203-783-1831 | |
Gail Grace Seamonds, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 39 Lavery Ln, Milford, CT 06461 Phone: 203-878-6497 |