Mr Lewis Gordon Head, APRN | |
1 Shaws Cv, New London, CT 06320-4902 | |
(860) 447-8304 | |
Not Available |
Full Name | Mr Lewis Gordon Head |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1 Shaws Cv, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649840406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 9749 (Connecticut) | Primary |
Entity Name | Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
Mailing Address | Practice Location Address |
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Mr Lewis Gordon Head, APRN 4b Woodview Dr, Ledyard, CT 06339-1676 Ph: (860) 941-5944 | Mr Lewis Gordon Head, APRN 1 Shaws Cv, New London, CT 06320-4902 Ph: (860) 447-8304 |
Mr. Stephen Daniel Socha, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Skyla Young Cedano, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304 | |
Mrs. Susan H. Austen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Mohegan Ave,, New London, CT 06320 Phone: 860-437-3611 Fax: 860-437-1801 | |
Eliza C Spears, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 254 Hempstead St, New London, CT 06320 Phone: 860-437-4550 | |
Melissa Milvenan, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304 | |
Emily Antonia Johnson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 234a Bank St, New London, CT 06320 Phone: 860-442-0290 | |
Mrs. Samantha Jo Rondini, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 78 Viets St, New London, CT 06320 Phone: 860-447-1416 |