| Centered Pllc | |
|
290 Lexington Ave New Haven CT 06513-4046 | |
| (203) 606-2395 | |
| (203) 643-2499 |
| Full Name | Centered Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 290 Lexington Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Robert G Krause (OWNER) |
| Authorized Official Contact | 2036062395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centered Pllc 285 Nicoll St New Haven CT 06511-2625 Ph: (203) 606-2395 | Centered Pllc 290 Lexington Ave New Haven CT 06513-4046 Ph: (203) 606-2395 |
| NPI Number | 1699406132 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Medicare PECOS PAC ID | 7810368594 |
|---|---|
| Medicare Enrollment ID | O20230117000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699406132 | NPI | - | NPPES |
| Provider Name | Robert G Krause |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811911795 PECOS PAC ID: 4486637972 Enrollment ID: I20040607001449 |
| Provider Name | Devorah Leah Kamman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164959326 PECOS PAC ID: 0749651768 Enrollment ID: I20230130000794 |
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