| Chanda Tamara Reece, | |
|
1093 Prospect Ave, West Hartford, CT 06105-1104 | |
| (860) 944-7316 | |
| Not Available |
| Full Name | Chanda Tamara Reece |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1093 Prospect Ave, West 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 |
|---|---|---|---|
| 1043909633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 169231 (Connecticut) | Primary |
| Entity Name | Anesthesiologists Of Middletown, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851317135 PECOS PAC ID: 2769479781 Enrollment ID: O20040429001224 |
| Entity Name | Endoscopy Center Of Connecticut, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1386757854 PECOS PAC ID: 0143226712 Enrollment ID: O20070117000018 |
| Entity Name | Charter Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730674532 PECOS PAC ID: 2163763830 Enrollment ID: O20190520001013 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanda Tamara Reece, 360 State St Apt 2310, New Haven, CT 06510-3622 Ph: (718) 598-7514 | Chanda Tamara Reece, 1093 Prospect Ave, West Hartford, CT 06105-1104 Ph: (860) 944-7316 |
Jillian P Sipperly, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1093 Prospect Ave, West Hartford, CT 06105 Phone: 860-977-4878 |