| Andrea A Leach, | |
|
85 Seymour St Ste 604, Hartford, CT 06106-5525 | |
| (203) 729-0775 | |
| Not Available |
| Full Name | Andrea A Leach |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 85 Seymour St Ste 604, 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 |
|---|---|---|---|
| 1881385979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 87196 (Connecticut) | Secondary |
| 363L00000X | Nurse Practitioner | 352507 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea A Leach, 710 Main St S, Southbury, CT 06488-9701 Ph: (203) 725-6303 | Andrea A Leach, 85 Seymour St Ste 604, Hartford, CT 06106-5525 Ph: (203) 729-0775 |
Caitlin R Rival, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-253-5020 | |
Mrs. Brooke M P Chaves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4680 | |
Jocelyn Calabro, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4000 | |
Michael Brian Banik, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 | |
Deborah Mcgrath, APRN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Hartford, CT 06105 Phone: 860-714-4786 | |
Marlo L Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Seymour St, Hartford, CT 06106 Phone: 860-972-0475 | |
Olivia Holubecki, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9290 |