Kristin Marie Mahan, | |
620 Norwich New London Tpke, Uncasville, CT 06382-2156 | |
(860) 892-8012 | |
(860) 892-8027 |
Full Name | Kristin Marie Mahan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 620 Norwich New London Tpke, Uncasville, 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 |
---|---|---|---|
1750663860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 004797 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence & Memorial Hospital | New london, CT | Hospital |
William W Backus Hospital | Norwich, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Balanced Wellness Primary Care, Llc | 6901048255 | 3 |
Entity Name | Balanced Wellness Primary Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780926774 PECOS PAC ID: 6901048255 Enrollment ID: O20130815000546 |
Mailing Address | Practice Location Address |
---|---|
Kristin Marie Mahan, 620 Norwich New London Tpke, Uncasville, CT 06382-2156 Ph: (860) 892-8012 | Kristin Marie Mahan, 620 Norwich New London Tpke, Uncasville, CT 06382-2156 Ph: (860) 892-8012 |
Danielle Lee Mallory, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-892-8012 | |
Mrs. Nicole Eddy Ortiz, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-848-1297 | |
Kathleen Eagle, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-892-8012 Fax: 860-892-8027 | |
Mrs. Deborah Elizabeth Donat, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382 Phone: 860-367-0087 Fax: 860-367-0117 | |
Heather Landry, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Sandy Desert Rd, Uncasville, CT 06382 Phone: 860-464-3600 | |
Kuljit Kaur, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382 Phone: 860-367-0087 |