| Dante Goodwin, AGNP | |
|
55 Grand St, New Britain, CT 06052-2021 | |
| (860) 223-3617 | |
| Not Available |
| Full Name | Dante Goodwin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 55 Grand St, New Britain, 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 |
|---|---|---|---|
| 1104479153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 8293 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charter Oak Health Center, Inc | 3870401078 | 31 |
| Entity Name | Charter Oak Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992750855 PECOS PAC ID: 3870401078 Enrollment ID: O20040220000909 |
| Entity Name | Practitioner Support Services Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114115706 PECOS PAC ID: 3375596984 Enrollment ID: O20050223000656 |
| Mailing Address | Practice Location Address |
|---|---|
| Dante Goodwin, AGNP 1274 E Main St Apt C13, Meriden, CT 06450-4868 Ph: () - | Dante Goodwin, AGNP 55 Grand St, New Britain, CT 06052-2021 Ph: (860) 223-3617 |
Kevin Jimenez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5900 | |
Lisa Tiffany Simiola, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 73 Cedar St, New Britain, CT 06052 Phone: 860-224-5267 | |
Ms. Vittoria Cappuccia, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Lafayette St, New Britain, CT 06051 Phone: 860-224-3642 | |
Pramela Singson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Lafayette St, New Britain, CT 06051 Phone: 860-224-3642 | |
Mrs. Rosa Maria Kleinberg, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2150 Corbin Ave, New Britain, CT 06053 Phone: 860-223-2761 | |
Susan Dagostino, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Hart St, New Britain, CT 06052 Phone: 860-229-0100 Fax: 860-225-2647 | |
Dorothy Forsyth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Winthrop St, New Britain, CT 06052 Phone: 860-224-6968 |