Lilly Kemm, APRN | |
5520 Park Ave # Wp1-200, Trumbull, CT 06611-3463 | |
(203) 666-3750 | |
Not Available |
Full Name | Lilly Kemm |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5520 Park Ave # Wp1-200, Trumbull, 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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1154905065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163WE0003X | Registered Nurse - Emergency | 155744 (Connecticut) | Secondary |
363LF0000X | Nurse Practitioner - Family | 12273 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
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Lilly Kemm, APRN 665 Commerce Dr Apt 324, Fairfield, CT 06825-5568 Ph: (732) 859-8193 | Lilly Kemm, APRN 5520 Park Ave # Wp1-200, Trumbull, CT 06611-3463 Ph: (203) 666-3750 |
Miranda R Vincent, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Corporate Dr, Trumbull, CT 06611 Phone: 203-452-8322 | |
Mrs. Laura K Degeorge, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Technology Dr, Trumbull, CT 06611 Phone: 203-445-7093 Fax: 203-638-7981 | |
Susanna Dahl Cronmiller, F.N.P, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5520 Park Ave, Trumbull, CT 06611 Phone: 203-502-8400 | |
Mrs. Christy A Hendrie, APRN, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60 Clover Hill Rd, Trumbull, CT 06611 Phone: 203-895-5013 | |
Amanda Jane Guarniere, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6515 Main St # 1a, Trumbull, CT 06611 Phone: 203-576-1737 | |
Jennifer Zhang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5520 Park Ave, Trumbull, CT 06611 Phone: 203-502-8400 | |
Hyungbok H Jeong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5520 Park Ave, Trumbull, CT 06611 Phone: 203-371-5873 |