| Staywell Health Care, Inc. | |
|
80 Phoenix Ave Waterbury CT 06702-1418 | |
| (203) 756-8021 | |
| (203) 596-9038 |
| Full Name | Staywell Health Care, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 80 Phoenix Ave, Waterbury, Connecticut |
| Authorized Official Name and Position | Donald Thompson (PRESIDENT & CEO) |
| Authorized Official Contact | 2037568021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Staywell Health Care, Inc. 80 Phoenix Ave Suite 201 Waterbury CT 06702-1418 Ph: (203) 756-8021 | Staywell Health Care, Inc. 80 Phoenix Ave Waterbury CT 06702-1418 Ph: (203) 756-8021 |
| NPI Number | 1154342335 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 01/09/2020 |
| Medicare PECOS PAC ID | 6305750480 |
|---|---|
| Medicare Enrollment ID | O20031113000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154342335 | NPI | - | NPPES |
| 004235984 | Medicaid | CT | |
| 004235968 | Medicaid | CT | |
| 004235976 | Medicaid | CT |
| Provider Name | Leonard W Stern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457462665 PECOS PAC ID: 2567374663 Enrollment ID: I20031105000468 |
| Provider Name | Amit Patel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396746400 PECOS PAC ID: 1557275815 Enrollment ID: I20031119000566 |
| Provider Name | Alison Grover |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326174574 PECOS PAC ID: 1951294545 Enrollment ID: I20040210000499 |
| Provider Name | Alison Birdsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609941681 PECOS PAC ID: 8729973920 Enrollment ID: I20040217000703 |
| Provider Name | Candra Smith Slatas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871504712 PECOS PAC ID: 0840180089 Enrollment ID: I20040319000366 |
| Provider Name | Ruth E Weissberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255365326 PECOS PAC ID: 8325930746 Enrollment ID: I20040329001057 |
| Provider Name | Sina Raissi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053311662 PECOS PAC ID: 2961492616 Enrollment ID: I20040514000335 |
| Provider Name | Tess Kryspin Lombard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710999198 PECOS PAC ID: 8022079490 Enrollment ID: I20041020000483 |
| Provider Name | Yelena N Titko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518980473 PECOS PAC ID: 6406800614 Enrollment ID: I20050310000517 |
| Provider Name | Christopher M Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154359313 PECOS PAC ID: 5597710608 Enrollment ID: I20050322000091 |
| Provider Name | Justin Lundbye |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043255748 PECOS PAC ID: 5092751560 Enrollment ID: I20050706000748 |
| Provider Name | Scott Kurtzman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457357451 PECOS PAC ID: 3072549716 Enrollment ID: I20050713000812 |
| Provider Name | Joan Huskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487680880 PECOS PAC ID: 9032125869 Enrollment ID: I20060302000346 |
| Provider Name | Edward S Gensicki |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982632634 PECOS PAC ID: 7618074386 Enrollment ID: I20070515000401 |
| Provider Name | Samuel L Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447467378 PECOS PAC ID: 7911007356 Enrollment ID: I20070713000329 |
| Provider Name | T Michelle G Mariani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740303544 PECOS PAC ID: 5991870453 Enrollment ID: I20080818000475 |
| Provider Name | Robert F Larosa |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154545846 PECOS PAC ID: 7214091834 Enrollment ID: I20090127000287 |
| Provider Name | Janet A Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255518718 PECOS PAC ID: 6204974728 Enrollment ID: I20091103000554 |
| Provider Name | Lata Jayanthi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841226354 PECOS PAC ID: 4284775792 Enrollment ID: I20100106000379 |
| Provider Name | Steven I Aronin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164495875 PECOS PAC ID: 4789726290 Enrollment ID: I20100121000741 |
| Provider Name | David Knight |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841254539 PECOS PAC ID: 4082696489 Enrollment ID: I20100122000790 |
| Provider Name | Sandeep Tiyyagura |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982882882 PECOS PAC ID: 5991837239 Enrollment ID: I20100721000823 |
| Provider Name | Susan Alward |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942202890 PECOS PAC ID: 0244424596 Enrollment ID: I20101030000147 |
| Provider Name | Zife Krosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881695070 PECOS PAC ID: 0244422053 Enrollment ID: I20101115000333 |
| Provider Name | Shalini Keswani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629289525 PECOS PAC ID: 9032304076 Enrollment ID: I20101116000550 |
| Provider Name | George Bittmann Barth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831200187 PECOS PAC ID: 9931174968 Enrollment ID: I20101223000113 |
| Provider Name | Jill D Bernstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497728927 PECOS PAC ID: 2163608811 Enrollment ID: I20110516000179 |
| Provider Name | Michael Young |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740366632 PECOS PAC ID: 2860678257 Enrollment ID: I20110519000481 |
| Provider Name | Stephen M Spear |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518994359 PECOS PAC ID: 2668641283 Enrollment ID: I20110816000494 |
| Provider Name | Anthony O Bonacorsi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437360039 PECOS PAC ID: 7214195817 Enrollment ID: I20120229000336 |
| Provider Name | Regan M Moriarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669709135 PECOS PAC ID: 1759533409 Enrollment ID: I20121204000412 |
| Provider Name | Lea M Hamila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902142078 PECOS PAC ID: 6406093889 Enrollment ID: I20130501000524 |
| Provider Name | Debbie L Cayabyab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912343278 PECOS PAC ID: 4981838398 Enrollment ID: I20131022001183 |
| Provider Name | Jaclyn Ann Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750682621 PECOS PAC ID: 1254512908 Enrollment ID: I20131218001314 |
| Provider Name | Danise M Schiliro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619143252 PECOS PAC ID: 0941443675 Enrollment ID: I20140610000864 |
| Provider Name | Radhika A Agrawal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285918979 PECOS PAC ID: 3870815772 Enrollment ID: I20141204000104 |
| Provider Name | Jody E Navitsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609812080 PECOS PAC ID: 4284653163 Enrollment ID: I20150223000062 |
| Provider Name | Nicole Maksymiw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679835748 PECOS PAC ID: 7810202371 Enrollment ID: I20150813010328 |
| Provider Name | Elise Sage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598048878 PECOS PAC ID: 4486962396 Enrollment ID: I20150925002059 |
| Provider Name | Pamela Kay Steele |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053700112 PECOS PAC ID: 5597061366 Enrollment ID: I20160304001750 |
| Provider Name | Tabassum A Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578819884 PECOS PAC ID: 3274830435 Enrollment ID: I20160401001993 |
| Provider Name | Atsuko Yamahiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730524653 PECOS PAC ID: 1557681541 Enrollment ID: I20160518001956 |
| Provider Name | Katharine Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982035655 PECOS PAC ID: 0042503534 Enrollment ID: I20160720002880 |
| Provider Name | Raman Gill |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154615029 PECOS PAC ID: 3072811504 Enrollment ID: I20160922001254 |
| Provider Name | Faith S Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437508264 PECOS PAC ID: 3072801141 Enrollment ID: I20161005003127 |
| Provider Name | Lindsey Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851834147 PECOS PAC ID: 7810270642 Enrollment ID: I20170201002261 |
| Provider Name | Ruth Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053401653 PECOS PAC ID: 3274817648 Enrollment ID: I20170302001073 |
| Provider Name | Tamanna Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790067395 PECOS PAC ID: 3274819883 Enrollment ID: I20170414000549 |
| Provider Name | Angela J Kang-giaimo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396158499 PECOS PAC ID: 8729307111 Enrollment ID: I20170517002613 |
| Provider Name | Elie Helou |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912252115 PECOS PAC ID: 3072823020 Enrollment ID: I20170807001880 |
| Provider Name | Yolima Salazar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346661972 PECOS PAC ID: 7810215928 Enrollment ID: I20170921003529 |
| Provider Name | Courtney R. Dowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023536232 PECOS PAC ID: 5496013286 Enrollment ID: I20171228000728 |
| Provider Name | Regina M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831638360 PECOS PAC ID: 0446511919 Enrollment ID: I20180223001772 |
| Provider Name | Izamari Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659757169 PECOS PAC ID: 9133355449 Enrollment ID: I20180228000672 |
| Provider Name | Sandy Lee Mancini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427323757 PECOS PAC ID: 4587927587 Enrollment ID: I20180404000588 |
| Provider Name | Taylor D Spooner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417310673 PECOS PAC ID: 7517220528 Enrollment ID: I20180404000895 |
| Provider Name | Nicole Borusiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043647373 PECOS PAC ID: 5597028761 Enrollment ID: I20180423000554 |
| Provider Name | Prabhdeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790162790 PECOS PAC ID: 4486909116 Enrollment ID: I20180620001163 |
| Provider Name | Skye Zeller |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033601430 PECOS PAC ID: 0941556112 Enrollment ID: I20180629001556 |
| Provider Name | Monika Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316333990 PECOS PAC ID: 4385992510 Enrollment ID: I20180806000278 |
| Provider Name | Karen Cooper-tripp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083101349 PECOS PAC ID: 8921350679 Enrollment ID: I20181009001137 |
| Provider Name | Barbara Anne Graham |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639550577 PECOS PAC ID: 5193077576 Enrollment ID: I20181012001102 |
| Provider Name | Zoey Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841761731 PECOS PAC ID: 0446598825 Enrollment ID: I20190208003092 |
| Provider Name | Raymond Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932618568 PECOS PAC ID: 7113266495 Enrollment ID: I20190304002139 |
| Provider Name | Katherine M Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689159956 PECOS PAC ID: 6608100987 Enrollment ID: I20190619002758 |
| Provider Name | Medhat Ghaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407218761 PECOS PAC ID: 9931494184 Enrollment ID: I20190620002567 |
| Provider Name | Daedly Potusek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578022166 PECOS PAC ID: 0840524948 Enrollment ID: I20190624001984 |
| Provider Name | Miguel Mantilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063864346 PECOS PAC ID: 2062741663 Enrollment ID: I20190906002370 |
| Provider Name | Gustavo D Herrera-brito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447898861 PECOS PAC ID: 0446687222 Enrollment ID: I20200218001581 |
| Provider Name | David Patrick Ritter |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245232537 PECOS PAC ID: 8123455383 Enrollment ID: I20200227002023 |
| Provider Name | Fahmida H Mcgann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154716678 PECOS PAC ID: 3678886116 Enrollment ID: I20200804002972 |
| Provider Name | Katelyn Iva Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194259408 PECOS PAC ID: 6507282647 Enrollment ID: I20200819002397 |
| Provider Name | Florymar Simonet Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811419377 PECOS PAC ID: 3274953369 Enrollment ID: I20201010000030 |
| Provider Name | Christina Lipori Farnworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962019224 PECOS PAC ID: 2163834680 Enrollment ID: I20201207001933 |
| Provider Name | Melitza Velez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780120295 PECOS PAC ID: 7618381351 Enrollment ID: I20210120003320 |
| Provider Name | Nicole Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154983229 PECOS PAC ID: 7517391972 Enrollment ID: I20210211002539 |
| Provider Name | Robyn Stoll-lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396096145 PECOS PAC ID: 9739584558 Enrollment ID: I20210817002640 |
| Provider Name | Elsa Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144676438 PECOS PAC ID: 8527304120 Enrollment ID: I20210824002227 |
| Provider Name | Arit E Esu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225533649 PECOS PAC ID: 2365840014 Enrollment ID: I20211011000089 |
| Provider Name | Charlie Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457712135 PECOS PAC ID: 1557759867 Enrollment ID: I20211019000943 |
| Provider Name | Fabiola Alejandra Mieses Pun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427544022 PECOS PAC ID: 3375933070 Enrollment ID: I20211213002121 |
| Provider Name | Miguel Filipe Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548933765 PECOS PAC ID: 3476945452 Enrollment ID: I20220125001724 |
| Provider Name | Aiman Nguib Milad Bishara |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043647795 PECOS PAC ID: 0345478319 Enrollment ID: I20220708003196 |
| Provider Name | Laurel J Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144948001 PECOS PAC ID: 5597141309 Enrollment ID: I20221003000432 |
| Provider Name | Ayesha N Ali |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376950287 PECOS PAC ID: 5294020434 Enrollment ID: I20221012001378 |
| Provider Name | Juliana Mantey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255056990 PECOS PAC ID: 0446628598 Enrollment ID: I20221121000951 |
| Provider Name | Kibeom Seo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205430816 PECOS PAC ID: 9234536806 Enrollment ID: I20221230001742 |
| Provider Name | Morgan Mccalmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629644422 PECOS PAC ID: 0648645754 Enrollment ID: I20230403001594 |
| Provider Name | Angela Deleon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477988566 PECOS PAC ID: 6608233374 Enrollment ID: I20230612001993 |
| Provider Name | Sharda Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689370041 PECOS PAC ID: 8224496385 Enrollment ID: I20230621003001 |
| Provider Name | Lillian Barbara Minter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316579311 PECOS PAC ID: 1658732078 Enrollment ID: I20230802000941 |
| Provider Name | Candace Autumn Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821778085 PECOS PAC ID: 7214381565 Enrollment ID: I20230920003811 |
| Provider Name | Melanie Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215202437 PECOS PAC ID: 2062864556 Enrollment ID: I20240119003870 |
| Provider Name | Christina Marie Greese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548025034 PECOS PAC ID: 8729426614 Enrollment ID: I20240411001155 |
| Provider Name | Victoria Pereira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639741382 PECOS PAC ID: 5092155812 Enrollment ID: I20240426002354 |
| Provider Name | Jessica Marie Newbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790543486 PECOS PAC ID: 3476993502 Enrollment ID: I20240506003632 |
Hospitalist Physicians Of Connecticut Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Robbins St, Waterbury, CT 06708 Phone: 203-573-6000 | |
Ionut Anton M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Grandview Ave, Suite 204, Waterbury, CT 06708 Phone: 203-596-1906 Fax: 203-596-1861 | |
Staywell Health Care Inc/g.w. Mental/auth Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 95 Thomaston Ave, Waterbury, CT 06702 Phone: 203-756-8021 Fax: 203-805-4913 | |
Westside Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Chase Parkway, Suite 6, Waterbury, CT 06708 Phone: 203-755-4577 Fax: 203-756-3628 | |
Digestive Disease Center Of Ct Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Westwood Ave, Suite 314, Waterbury, CT 06708 Phone: 203-574-3007 Fax: 203-573-1739 | |
Paolo Mapelli Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1312 W Main St, Suite 101, Waterbury, CT 06708 Phone: 203-756-6422 Fax: 203-575-0063 | |
Oak Street Health Physicians Group Of Connecticut Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 N Main St, Waterbury, CT 06704 Phone: 203-951-8306 Fax: 475-215-3374 |