Tracy L Kunkel, APRN | |
763 Burnside Ave, Unit 5, East Hartford, CT 06108-2791 | |
(860) 291-9787 | |
Not Available |
Full Name | Tracy L Kunkel |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 763 Burnside Ave, East Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538460407 | NPI | - | NPPES |
004236346 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 003553 (Connecticut) | Primary |
Entity Name | Intercommunity Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073548533 PECOS PAC ID: 9032001649 Enrollment ID: O20040329000218 |
Mailing Address | Practice Location Address |
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Tracy L Kunkel, APRN 111 Founders Plz, Ste 1802, East Hartford, CT 06108-8301 Ph: (860) 569-5900 | Tracy L Kunkel, APRN 763 Burnside Ave, Unit 5, East Hartford, CT 06108-2791 Ph: (860) 291-9787 |
Ms. Kristina Maria Deconti, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 893 Main St, East Hartford, CT 06108 Phone: 860-528-4124 | |
Diane Sanchez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 893 Main St, Suite 202, East Hartford, CT 06108 Phone: 860-528-4124 Fax: 860-282-1213 | |
Mileidy Perez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 724 Brewer St, East Hartford, CT 06118 Phone: 860-281-6717 | |
Luz Esther Valentin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 | |
Theresa Antwi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 Burnside Ave Apt A4, East Hartford, CT 06108 Phone: 240-408-0736 | |
Ms. Nancy Concepcion, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 Fax: 860-290-4142 | |
Nancy Kalagher, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 99 Ash St, East Hartford, CT 06108 Phone: 860-282-8510 Fax: 860-282-8586 |