Madison Alaia Fucci, | |
1110 Durham Rd, Madison, CT 06443-1858 | |
(203) 421-3600 | |
Not Available |
Full Name | Madison Alaia Fucci |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1110 Durham Rd, Madison, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164107421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 12036 (Connecticut) | Primary |
Entity Name | Prohealth Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
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Madison Alaia Fucci, 688 Goose Ln, Guilford, CT 06437-2111 Ph: (203) 980-4099 | Madison Alaia Fucci, 1110 Durham Rd, Madison, CT 06443-1858 Ph: (203) 421-3600 |
Amy G Golden, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 Durham Rd, Madison, CT 06443 Phone: 203-421-3600 | |
Meredith Chittenden Edwards, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Wildwood Ave, Madison, CT 06443 Phone: 203-245-8008 | |
Ms. Melissa Anne Gionfriddo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1291 Boston Post Rd Ste 200, Madison, CT 06443 Phone: 203-421-0444 | |
Victoria Chika Ogbejesi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 93 Ridge Rd, Madison, CT 06443 Phone: 203-606-4813 | |
Patrice M Wilhelm, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Woodland Rd Unit 3b, Madison, CT 06443 Phone: 203-350-2030 Fax: 478-202-9615 | |
Taylor Griffeth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1291 Boston Post Rd, Madison, CT 06443 Phone: 860-358-5100 |