Mrs Kathleen Marie Bannon, APRN is a
Nurse Practitioner - Women's Health based in Rockville, Connecticut. Mrs Kathleen Marie Bannon is licensed to practice in Connecticut (license number 002093) and her current practice location is
31 Union St, Rockville, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 872-5170.
NPI number for Mrs Kathleen Marie Bannon is 1811964034 and her current mailing address is 54 Saint Moritz Cir, Willington, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811964034.
Provider's Profile
| Full Name | Mrs Kathleen Marie Bannon |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Women's Health |
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| Location | 31 Union St, Rockville, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811964034
- Provider Enumeration Date: 03/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kathleen Marie Bannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811964034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 002093 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathleen Marie Bannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kathleen Marie Bannon, APRN
54 Saint Moritz Cir,
Willington, CT 06279-2210
Ph: (860) 684-4396 | Mrs Kathleen Marie Bannon, APRN
31 Union St,
Rockville, CT 06066-3126
Ph: (860) 872-5170 |
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