Ms Kate Hallissey, CPNP | |
5520 Park Avenue, Pediatric Hematology And Oncology, Trumbull, CT 06611-3463 | |
(203) 785-4640 | |
(203) 737-2228 |
Full Name | Ms Kate Hallissey |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 5520 Park Avenue, Trumbull, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063888410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | F382554 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 9461 (Connecticut) | Primary |
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Mailing Address | Practice Location Address |
---|---|
Ms Kate Hallissey, CPNP 1 Park St, Pediatric Hematology/oncology, New Haven, CT 06504-8901 Ph: (203) 785-4640 | Ms Kate Hallissey, CPNP 5520 Park Avenue, Pediatric Hematology And Oncology, Trumbull, CT 06611-3463 Ph: (203) 785-4640 |
Miranda R Vincent, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Corporate Dr, Trumbull, CT 06611 Phone: 203-452-8322 | |
Mrs. Laura K Degeorge, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Technology Dr, Trumbull, CT 06611 Phone: 203-445-7093 Fax: 203-638-7981 | |
Susanna Dahl Cronmiller, F.N.P, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5520 Park Ave, Trumbull, CT 06611 Phone: 203-502-8400 | |
Mrs. Christy A Hendrie, APRN, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60 Clover Hill Rd, Trumbull, CT 06611 Phone: 203-895-5013 | |
Amanda Jane Guarniere, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6515 Main St # 1a, Trumbull, CT 06611 Phone: 203-576-1737 | |
Jennifer Zhang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5520 Park Ave, Trumbull, CT 06611 Phone: 203-502-8400 | |
Hyungbok H Jeong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5520 Park Ave, Trumbull, CT 06611 Phone: 203-371-5873 |