| Beata Teresa Kubacka, APRN | |
|
435 Lewis Ave, Meriden, CT 06451-2101 | |
| (203) 694-8200 | |
| Not Available |
| Full Name | Beata Teresa Kubacka |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 435 Lewis Ave, Meriden, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962929752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7192 (Connecticut) | Primary |
| Entity Name | The Hospital of Central Connecticut at New Britain General and Bradley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
| Entity Name | Midstate Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Entity Name | Hartford Healthcare Medical Group Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Beata Teresa Kubacka, APRN 34 Skunk Misery Rd, Higganum, CT 06441-4435 Ph: (860) 209-6086 | Beata Teresa Kubacka, APRN 435 Lewis Ave, Meriden, CT 06451-2101 Ph: (203) 694-8200 |
Brenna Dion, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677 |
Marta Fedorko, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 |
Danielle Marie Montesanto, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677 |
Jeannie Mcintosh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677 |
Julia Berndt Rapp, PNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677 |
Brenna Keogh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677 |
Jessica M. Martin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 482 S Broad St, Meriden, CT 06450 Phone: 203-439-4485 |