Mr William Lane Kornegay, APRN | |
21 Montauk Ave, New London, CT 06320-4906 | |
(860) 439-6400 | |
(860) 390-1463 |
Full Name | Mr William Lane Kornegay |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 21 Montauk Ave, 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 |
---|---|---|---|
1366160277 | NPI | - | NPPES |
Entity Name | Sound Community Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396700886 PECOS PAC ID: 7517981517 Enrollment ID: O20060117001127 |
Entity Name | Step Up Care Pc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
Entity Name | Long Point Psychiatric Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427764877 PECOS PAC ID: 1456726017 Enrollment ID: O20230412002318 |
Mailing Address | Practice Location Address |
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Mr William Lane Kornegay, APRN 54 Ronald Rd, Groton, CT 06340-3819 Ph: (860) 235-6983 | Mr William Lane Kornegay, APRN 21 Montauk Ave, New London, CT 06320-4906 Ph: (860) 439-6400 |
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 |