| Danielle Petrowski, | |
|
23 Clara Dr, Mystic, CT 06355-1959 | |
| (860) 572-5782 | |
| Not Available |
| Full Name | Danielle Petrowski |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 23 Clara Dr, Mystic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891417242 | NPI | - | NPPES |
| 1891417242 | Medicaid | RI | |
| 1891417242 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10993 (Connecticut) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Petrowski, 99 Hawley Ln Fl 3, Stratford, CT 06614-1202 Ph: () - | Danielle Petrowski, 23 Clara Dr, Mystic, CT 06355-1959 Ph: (860) 572-5782 |
Lindsay Evelyn Swanberry, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 Sharon Rd, Mystic, CT 06355 Phone: 860-961-0820 | |
Ms. Mary Ellen Pagnozzi, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Heron Rd, Mystic, CT 06355 Phone: 860-536-6442 Fax: 860-536-6442 | |
Mrs. Karen Janet Terwilliger, MS, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Heron Rd, Mystic, CT 06355 Phone: 401-497-6799 | |
Patricia Sue Decker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28 Broadway Ave, Mystic, CT 06355 Phone: 860-536-9655 | |
Shaniya Rosenkrantz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Perkins Farm Dr, Mystic, CT 06355 Phone: 860-572-8911 | |
Cheryl A Walker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Heron Rd, Mystic, CT 06355 Phone: 860-536-6442 Fax: 860-536-6442 | |
Ms. Kristen Maria Stehle, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 W Mystic Ave # 69, Mystic, CT 06388 Phone: 860-245-9689 |