| Bethany Joy Kennedy, APRN | |
|
112 Mansfield Ave, Willimantic, CT 06226 | |
| (860) 456-9116 | |
| Not Available |
| Full Name | Bethany Joy Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 112 Mansfield Ave, Willimantic, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003301136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN01804 (Rhode Island) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 7663 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| William W Backus Hospital | Norwich, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The William W Backus Hospital | 0749170645 | 208 |
| Entity Name | Windham Community Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
| Entity Name | The William W Backus Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Joy Kennedy, APRN 112 Mansfield Ave, Willimantic, CT 06226-2045 Ph: (860) 456-9116 | Bethany Joy Kennedy, APRN 112 Mansfield Ave, Willimantic, CT 06226 Ph: (860) 456-9116 |
Patricia S Masopust, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, United Services, Willimantic, CT 06226 Phone: 860-456-2261 | |
Kari A. Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213 | |
Ariye M Krassner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 | |
Dr. Rachell Laureena Farnham, DNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 | |
Christine Nilson Mccarthy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 185 Birch Street, Willimantic, CT 06226 Phone: 860-465-5263 Fax: 860-465-4560 | |
Melissa Bohan-hallenbeck, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6965 Fax: 860-456-6969 |