Tanya Theriault, APRN | |
85 Lafayette Street, New Britain, CT 06052 | |
(860) 224-3642 | |
Not Available |
Full Name | Tanya Theriault |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 85 Lafayette Street, New Britain, 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 |
---|---|---|---|
1851647820 | NPI | - | NPPES |
004236346 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 98997 (Connecticut) | Secondary |
363LF0000X | Nurse Practitioner - Family | 005103 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marillac Community Health Centers | 3678755535 | 41 |
Entity Name | Marillac Community Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396059796 PECOS PAC ID: 3678755535 Enrollment ID: O20110314000767 |
Mailing Address | Practice Location Address |
---|---|
Tanya Theriault, APRN 575 Main St Fl 2, Attn: Credentialing Dpt, Middletown, CT 06457-2845 Ph: (860) 347-6971 | Tanya Theriault, APRN 85 Lafayette Street, New Britain, CT 06052 Ph: (860) 224-3642 |
Jason Manto, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Lafayette St, New Britain, CT 06051 Phone: 860-224-3642 | |
Kevin Jimenez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5900 | |
Ms. Vittoria Cappuccia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Lafayette St, New Britain, CT 06051 Phone: 860-224-3642 | |
Pramela Singson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Lafayette St, New Britain, CT 06051 Phone: 860-224-3642 | |
Mrs. Rosa Maria Kleinberg, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2150 Corbin Ave, New Britain, CT 06053 Phone: 860-223-2761 | |
Susan Dagostino, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Hart St, New Britain, CT 06052 Phone: 860-229-0100 Fax: 860-225-2647 | |
Dorothy Forsyth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Winthrop St, New Britain, CT 06052 Phone: 860-224-6968 |