Mrs Wendy Griswold, APRN | |
270 Main St, Portland, CT 06480-1857 | |
(860) 342-3392 | |
(860) 358-8658 |
Full Name | Mrs Wendy Griswold |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 270 Main St, Portland, 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 |
---|---|---|---|
1639406184 | NPI | - | NPPES |
008014148 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 004197 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Middlesex Hospital Homecare | Middletown, CT | Hospice |
Middlesex Hospital | Middletown, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mhs Primary Care, Inc | 4082507371 | 143 |
Entity Name | Mhs Primary Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740666312 PECOS PAC ID: 4082507371 Enrollment ID: O20040202000945 |
Mailing Address | Practice Location Address |
---|---|
Mrs Wendy Griswold, APRN 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-4820 | Mrs Wendy Griswold, APRN 270 Main St, Portland, CT 06480-1857 Ph: (860) 342-3392 |
Mrs. Carly M Odesina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Main St, Portland, CT 06480 Phone: 860-342-3392 Fax: 860-358-8658 | |
Morgan Bryant Feshler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Main St Ste A, Portland, CT 06480 Phone: 860-358-5040 | |
Ms. Wendy Ann Tagan Conroy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Main St, Portland, CT 06480 Phone: 860-342-3392 Fax: 860-358-8658 |