Susan J Grillo, APRN | |
365 Montauk Ave, New London, CT 06320-4700 | |
(860) 442-0711 | |
(860) 444-0863 |
Full Name | Susan J Grillo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 45 Years |
Location | 365 Montauk Ave, New London, 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 |
---|---|---|---|
1962584284 | NPI | - | NPPES |
4024972 | Medicaid | CT | |
4014679 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 001526 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence & Memorial Hospital | New london, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Medical Group Inc | 1254233836 | 1244 |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
---|---|
Susan J Grillo, APRN 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 | Susan J Grillo, APRN 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 |
Mr. Stephen Daniel Socha, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Skyla Young Cedano, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304 | |
Mrs. Susan H. Austen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Mohegan Ave,, New London, CT 06320 Phone: 860-437-3611 Fax: 860-437-1801 | |
Eliza C Spears, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 254 Hempstead St, New London, CT 06320 Phone: 860-437-4550 | |
Melissa Milvenan, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304 | |
Emily Antonia Johnson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 234a Bank St, New London, CT 06320 Phone: 860-442-0290 | |
Mrs. Samantha Jo Rondini, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 78 Viets St, New London, CT 06320 Phone: 860-447-1416 |