Lesle Spain, | |
743 South Ave, Bridgeport, CT 06604-5810 | |
(203) 330-6000 | |
(203) 330-6013 |
Full Name | Lesle Spain |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 743 South Ave, Bridgeport, 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 |
---|---|---|---|
1740436674 | NPI | - | NPPES |
004236130 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R31784 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South-west Community Health Center Inc | 2466445200 | 50 |
Entity Name | South-west Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699703686 PECOS PAC ID: 2466445200 Enrollment ID: O20040420001098 |
Mailing Address | Practice Location Address |
---|---|
Lesle Spain, 46 Albion Street, Bridgeport, CT 06605-2605 Ph: (203) 332-3155 | Lesle Spain, 743 South Ave, Bridgeport, CT 06604-5810 Ph: (203) 330-6000 |
Ryan Keenan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Caroline Mead Farrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 908-489-4847 | |
Miss Sandra Shipkowitz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490 | |
Patricia Anne Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-368-3000 | |
Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584 | |
Esther M Mervil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Barnum Ave, Bridgeport, CT 06608 Phone: 203-333-6864 Fax: 203-332-0376 | |
Asena Derohannesian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Thorme St, Bridgeport, CT 06606 Phone: 203-275-4115 Fax: 203-275-0198 |