Clarisse Fairbanks, APRN | |
270 Farmington Ave, Suite 309, Farmington, CT 06032 | |
(860) 677-5570 | |
(860) 677-9570 |
Full Name | Clarisse Fairbanks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 270 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 |
---|---|---|---|
1538105135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 003066 (Connecticut) | Primary |
Entity Name | Connecticut Mental Health Specialists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053362814 PECOS PAC ID: 0345130563 Enrollment ID: O20040319000165 |
Entity Name | Impact Health P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315 |
Entity Name | Impact Health Psych Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730781022 PECOS PAC ID: 6204248149 Enrollment ID: O20201217000105 |
Mailing Address | Practice Location Address |
---|---|
Clarisse Fairbanks, APRN 270 Farmington Ave Ste 309, Farmington, CT 06032-1953 Ph: (860) 677-5570 | Clarisse Fairbanks, APRN 270 Farmington Ave, Suite 309, Farmington, CT 06032 Ph: (860) 677-5570 |
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 |