Mrs Loretta C Richardson, CNM | |
134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | |
(860) 307-2937 | |
(203) 754-0788 |
Full Name | Mrs Loretta C Richardson |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 27 Years |
Location | 134 Grandview Ave, Waterbury, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063492452 | NPI | - | NPPES |
004209509 | Medicaid | CT | |
1063492452 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | RN2340005 (Massachusetts) | Secondary |
367A00000X | Advanced Practice Midwife | 000166 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverbend Medical Group Inc | 5698064343 | 159 |
Entity Name | Riverbend Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841651197 PECOS PAC ID: 5698064343 Enrollment ID: O20160614001710 |
Mailing Address | Practice Location Address |
---|---|
Mrs Loretta C Richardson, CNM 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 Ph: (860) 307-2937 | Mrs Loretta C Richardson, CNM 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 Ph: (860) 307-2937 |
Kathryn Spiess, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 140 Grandview Ave, Suite 202, Waterbury, CT 06708 Phone: 203-755-2344 Fax: 203-573-8166 | |
Vanessa Daou, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 134 Grandview Ave, Suite 210, Waterbury, CT 06708 Phone: 203-754-2535 Fax: 203-754-0788 | |
Carrie Ann Mi Costa, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 60 Westwood Ave Ste 100, Waterbury, CT 06708 Phone: 203-578-4609 | |
Ms. Deborah Garber, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 133 Scovill St, Suite 303, Waterbury, CT 06706 Phone: 203-575-1811 Fax: 203-575-1995 | |
Ms. Ellen Struzziero, RN, CNM, MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 80 Phoenix Ave, Suite 201, Waterbury, CT 06702 Phone: 203-756-8021 Fax: 203-596-9038 | |
Lesley A Gustafson, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 140 Grandview Ave, Suite 202, Waterbury, CT 06708 Phone: 203-755-2344 Fax: 203-573-8166 |