Ms Denisha L Pettway, | |
397 Eastern St Apt B, New Haven, CT 06513-2369 | |
(203) 843-1059 | |
Not Available |
Full Name | Ms Denisha L Pettway |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 397 Eastern St Apt B, New Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356038905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 11964 (Connecticut) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200114001048 |
Mailing Address | Practice Location Address |
---|---|
Ms Denisha L Pettway, 397 Eastern St Apt B, New Haven, CT 06513-2369 Ph: (203) 843-1059 | Ms Denisha L Pettway, 397 Eastern St Apt B, New Haven, CT 06513-2369 Ph: (203) 843-1059 |
Audrey P Senior, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-5860 Fax: 203-688-7533 | |
Ashley Antonucci, DNP- FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-688-8800 | |
Bailey Daum, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Trumbull St, New Haven, CT 06510 Phone: 646-270-4857 | |
Mrs. Lisa Jane Warren, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-7952 | |
Mrs. Rocca L Perruccio, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3000 Fax: 203-503-3224 | |
Alexa Blood, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Howard Ave, New Haven, CT 06519 Phone: 203-785-2565 | |
Dr. Shelley Yerger Hawkins, DSN, APRN-BC, FAANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Church St S, #271, New Haven, CT 06519 Phone: 205-999-9029 Fax: 203-785-6455 |