| Keva C Fothergill, PA | |
|
26 Lafayette St, Norwich, CT 06360-3408 | |
| (860) 889-7321 | |
| (860) 444-7401 |
| Full Name | Keva C Fothergill |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 26 Lafayette St, Norwich, 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 |
|---|---|---|---|
| 1285793935 | NPI | - | NPPES |
| 1285793935 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 000909 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| William W Backus Hospital | Norwich, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Helar Campos Md And Associates Family Medical Center, Llc | 0143327528 | 3 |
| Mailing Address | Practice Location Address |
|---|---|
| Keva C Fothergill, PA 196 Parkway S, Suite 304, Waterford, CT 06385-1234 Ph: (860) 442-7027 | Keva C Fothergill, PA 26 Lafayette St, Norwich, CT 06360-3408 Ph: (860) 889-7321 |
Melody Mukon, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 330 Washington St, Suite 220, Norwich, CT 06360 Phone: 860-886-8362 Fax: 860-886-9262 | |
Rebecca L Richard, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 36 Lafayette St, Norwich, CT 06360 Phone: 860-885-0666 Fax: 860-885-1158 | |
Mr. Devin Stanton, Physician Assistant Medicare: Medicare Enrolled Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-823-6382 | |
Alexa Dena Bruce, PA - C Physician Assistant Medicare: Medicare Enrolled Practice Location: 326 Washington Street, Norwich, CT 06360 Phone: 860-889-8331 Fax: 860-823-1501 | |
Kara Izzo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Towne Park Plz Ste 303, Norwich, CT 06360 Phone: 860-889-9035 | |
Nicholas Price, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Ms. Catherine Elizabeth Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Towne Park Plz, Norwich, CT 06360 Phone: 860-889-9035 |