Mrs Jessica Angela Nichole Fett, APRN | |
5 N Main St, Enfield, CT 06082-3372 | |
(860) 253-9024 | |
(860) 253-9593 |
Full Name | Mrs Jessica Angela Nichole Fett |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5 N Main St, Enfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184798449 | NPI | - | NPPES |
103542 | Other | CT | CONNECTICARE |
1255448155 | Other | CT | GHMC GROUP NPI |
3V0058 | Other | CT | HEALTH NET |
004264529 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN2280255 (Massachusetts) | Secondary |
363LF0000X | Nurse Practitioner - Family | 003542 (Connecticut) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Angela Nichole Fett, APRN 5 N Main St, Enfield, CT 06082-3372 Ph: (860) 253-9024 | Mrs Jessica Angela Nichole Fett, APRN 5 N Main St, Enfield, CT 06082-3372 Ph: (860) 253-9024 |
Caitlin R Williams, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 | |
Lindsey Diane Petrangelo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 Hazard Ave Ste 103, Enfield, CT 06082 Phone: 860-962-6600 Fax: 860-962-6866 | |
Kelly Julia Nolin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9 Cranbrook Blvd, Enfield, CT 06082 Phone: 860-253-5330 | |
Emily Christina Dow, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Hazard Ave Ste 2, Enfield, CT 06082 Phone: 860-698-6041 | |
Katherine Snow Rutt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Hazard Ave Ste 5-6, Enfield, CT 06082 Phone: 860-763-7668 Fax: 860-763-7676 | |
Maja Matwiejczuk, FNP APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 113 Elm Street, Suite 304, Enfield, CT 06082 Phone: 860-741-2225 Fax: 860-741-2229 | |
Anna Maria Fleischman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Hazard Ave, Enfield, CT 06082 Phone: 860-714-4680 |