Mary Jean Thielman, APRN | |
80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-5037 | |
(860) 545-2840 | |
Not Available |
Full Name | Mary Jean Thielman |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 80 Seymour Street, Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215962139 | NPI | - | NPPES |
PENDING | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 000925 (Connecticut) | Primary |
Entity Name | Hartford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
Entity Name | Hartford Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
Mailing Address | Practice Location Address |
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Mary Jean Thielman, APRN Po Box 40,000 Dept 634, Hartford Hospital Professional Services, Hartford, CT 06151-0634 Ph: (860) 545-7602 | Mary Jean Thielman, APRN 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-5037 Ph: (860) 545-2840 |
Caroline Clara Regan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 185 Asylum St, Hartford, CT 06103 Phone: 860-215-2117 | |
Mrs. Brooke M P Chaves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4680 | |
Jocelyn Calabro, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4000 | |
Michael Brian Banik, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 | |
Deborah Mcgrath, APRN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Hartford, CT 06105 Phone: 860-714-4786 | |
Marlo Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-0000 | |
Audrey Bakanauskas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Cardiology, Hartford, CT 06105 Phone: 860-714-4161 Fax: 860-714-8001 |