Ellen M Carroll, APRN | |
71 East Ave, Norwalk, CT 06851-4903 | |
(203) 656-1452 | |
(203) 656-1485 |
Full Name | Ellen M Carroll |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 71 East Ave, Norwalk, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467672097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | F 380919 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2605 (Connecticut) | Primary |
Entity Name | Shoreline Psychiatry Of Western Connecticut Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134251564 PECOS PAC ID: 9133228695 Enrollment ID: O20070625000099 |
Mailing Address | Practice Location Address |
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Ellen M Carroll, APRN 14 Glen Ridge Rd, Greenwich, CT 06831-3657 Ph: (203) 531-1646 | Ellen M Carroll, APRN 71 East Ave, Norwalk, CT 06851-4903 Ph: (203) 656-1452 |
Yuliya Koshkina, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 761 Main Ave Ste 201, Norwalk, CT 06851 Phone: 203-853-5000 Fax: 203-853-5001 | |
Dr. Kristine Pantchenko, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 West Ave, Norwalk, CT 06850 Phone: 203-852-2740 | |
Ms. Iris Nagin, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Stevens St, Hospitalist Suite, Norwalk, CT 06850 Phone: 203-852-3072 Fax: 203-855-3781 | |
Patricia Honan Carey, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 East Ave, Norwalk, CT 06851 Phone: 203-854-7973 | |
Valencia Emile, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17 High St, Norwalk, CT 06851 Phone: 000-000-0000 | |
Tara M. Meady, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 761 Main Ave, Suite 200, Norwalk, CT 06851 Phone: 203-750-7400 | |
Larisa A. Fleysher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Maple St, Norwalk, CT 06850 Phone: 203-852-2204 Fax: 203-852-3109 |