| Elizabeth A Mayerson, APRN | |
|
1776 Boston Tpke, Coventry, CT 06238-1160 | |
| (860) 742-0807 | |
| (860) 742-8702 |
| Full Name | Elizabeth A Mayerson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1776 Boston Tpke, Coventry, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053367060 | NPI | - | NPPES |
| 1053367060 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 000781 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 000781 (Connecticut) | Primary |
| 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 | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Mayerson, APRN 1776 Boston Tpke, Coventry, CT 06238-1160 Ph: (860) 742-0807 | Elizabeth A Mayerson, APRN 1776 Boston Tpke, Coventry, CT 06238-1160 Ph: (860) 742-0807 |
Nicole Marilyn Wagschal, MSN APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3514 Main St, Cvs- Minute Clinic, Coventry, CT 06238 Phone: 866-389-2727 | |
Ms. Alisa Lyudmila Da Costa-rodrigues, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3514 Main St, Coventry, CT 06238 Phone: 866-389-2727 | |
Linda L Starr, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1153 Main St, Coventry, CT 06238 Phone: 860-847-7948 Fax: 860-413-0886 | |
Ms. Mavis Elizabeth Godley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3514 Main St, Cvs Health Minuteclinic, Coventry, CT 06238 Phone: 860-742-3543 | |
Loreen Williams, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3514 Main Street, Clinic #2220, Coventry, CT 06238 Phone: 860-742-3543 | |
Linda M Pio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3514 Main St, Coventry, CT 06238 Phone: 860-742-3543 |