Ms Michelle L Pugliares, APRN | |
263 Farmington Ave, Cancer Center, Farmington, CT 06030-2875 | |
(860) 679-2100 | |
(860) 679-4815 |
Full Name | Ms Michelle L Pugliares |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 263 Farmington Ave, Farmington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255651675 | NPI | - | NPPES |
1376596826 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 004485 (Connecticut) | Primary |
363L00000X | Nurse Practitioner | 004485 (Connecticut) | Secondary |
Entity Name | Optimum Regenerative Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396382685 PECOS PAC ID: 3577990274 Enrollment ID: O20200218002912 |
Mailing Address | Practice Location Address |
---|---|
Ms Michelle L Pugliares, APRN 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | Ms Michelle L Pugliares, APRN 263 Farmington Ave, Cancer Center, Farmington, CT 06030-2875 Ph: (860) 679-2100 |
Mrs. Laura Elizabeth Gabriel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Garden St, Farmington, CT 06032 Phone: 860-777-5829 | |
Paula M. Mccauley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6649 | |
Ms. Tammy Michelle Davino, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3107 Fax: 860-679-1843 | |
Salome Tsurtsumia, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Talcott Notch Rd, Farmington, CT 06032 Phone: 860-679-6700 | |
Mrs. Carey Reynholds Driscoll, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 505 Farmington Ave, 2nd Floor, Farmington, CT 06032 Phone: 860-837-6700 Fax: 860-837-6745 | |
Carol Ann Nati, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Orthopaedics, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6604 | |
Nancy D Baccaro, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Uconn Medical Group/cancer Center, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 |