| Brittany Bayne Wallace, CPNP | |
|
290 Western Blvd, Glastonbury, CT 06033-1236 | |
| (860) 652-3325 | |
| Not Available |
| Full Name | Brittany Bayne Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 290 Western Blvd, Glastonbury, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134992829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN2361529 (Massachusetts) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 14871 (Connecticut) | Primary |
| Entity Name | Prohealth Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittany Bayne Wallace, CPNP 187 E Chippens Hill Rd, Burlington, CT 06013-2111 Ph: (860) 502-7005 | Brittany Bayne Wallace, CPNP 290 Western Blvd, Glastonbury, CT 06033-1236 Ph: (860) 652-3325 |
Madison Lee Corsini, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 |
Ms. Amanda Marie Swan, APRN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Welles St Ste 215, Glastonbury, CT 06033 Phone: 860-325-2679 Fax: 860-316-4064 |
Dr. Bharat Bhushan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 241 Paxton Way, Glastonbury, CT 06033 Phone: 860-593-0920 |
Linda Marie Scillia, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Hebron Ave Ste 203, Glastonbury, CT 06033 Phone: 860-946-0447 |
Nicole Fearon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2639 Main St, Glastonbury, CT 06033 Phone: 860-659-1329 |
Jennifer Freeman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2520 Main St, Glastonbury, CT 06033 Phone: 860-968-0430 Fax: 860-968-0431 |
Tracy Sibley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Hebron Ave, Glastonbury, CT 06033 Phone: 860-383-3860 |