Kathleen M Demers, APRN | |
612 Hartford Pike, Dayville, CT 06241-2159 | |
(860) 779-6068 | |
(860) 779-7597 |
Full Name | Kathleen M Demers |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 612 Hartford Pike, Dayville, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952377145 | NPI | - | NPPES |
004999504 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 000632 (Connecticut) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 000632 (Connecticut) | Secondary |
Entity Name | Day Kimball Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376813972 PECOS PAC ID: 1557514411 Enrollment ID: O20130102000091 |
Mailing Address | Practice Location Address |
---|---|
Kathleen M Demers, APRN 320 Pomfret St, Putnam, CT 06260-1836 Ph: (860) 928-6541 | Kathleen M Demers, APRN 612 Hartford Pike, Dayville, CT 06241-2159 Ph: (860) 779-6068 |
Mrs. Pamela Macklin Ferland, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 612 Hartford Pike, Dayville, CT 06241 Phone: 860-779-0867 Fax: 860-779-0386 | |
Carol Margaret Hamlin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-423-1818 | |
Kyla Marie Tucker, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 545 Hartford Pike, Dayville, CT 06241 Phone: 860-412-9190 | |
Beth Villodas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 North Main St, Dayville, CT 06241 Phone: 860-774-2020 | |
Samer Ashour, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 | |
Christine A Smiley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826 | |
Sarah Elizabeth Uwazany, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 612 Hartford Pike, Dayville, CT 06241 Phone: 860-779-0867 Fax: 860-779-0386 |