| Brian James Roach, NP | |
|
329 Greene St Unit 3, New Haven, CT 06511-6968 | |
| (510) 566-1920 | |
| Not Available |
| Full Name | Brian James Roach |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 329 Greene St Unit 3, New Haven, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083439574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN2372169 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 14174 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mainehealth Mid Coast Hospital | Brunswick, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bluewater Emergency Partners Of Brunswick, Llc | 3375774227 | 151 |
| Entity Name | Bluewater Emergency Partners of Brunswick, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043640204 PECOS PAC ID: 3375774227 Enrollment ID: O20140319000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian James Roach, NP 329 Greene St Unit 3, New Haven, CT 06511-6968 Ph: (510) 566-1920 | Brian James Roach, NP 329 Greene St Unit 3, New Haven, CT 06511-6968 Ph: (510) 566-1920 |
Audrey P Senior, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-5860 Fax: 203-688-7533 |
Ms. Paula M. Tortorici-scheff, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Howard Ave, New Haven, CT 06519 Phone: 203-688-4242 |
Ashley Antonucci, DNP- FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-688-8800 |
Bailey Daum, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Trumbull St, New Haven, CT 06510 Phone: 646-270-4857 |
Kentrone Vines, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 |
Dr. Jason S Katz, DNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 558 Whitney Ave Apt 3, New Haven, CT 06511 Phone: 215-805-4969 |
Ms. Brittany Fasanelli, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 516-880-5284 |