| Ellen M Fahey, APRN | |
|
40 Cross St, Norwalk, CT 06851-4647 | |
| (203) 229-2000 | |
| (203) 840-9001 |
| Full Name | Ellen M Fahey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 40 Cross St, 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 |
|---|---|---|---|
| 1831219294 | NPI | - | NPPES |
| 08047561 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 003297 (Connecticut) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 003297 (Connecticut) | Secondary |
| Entity Name | Island Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316077464 PECOS PAC ID: 3779562376 Enrollment ID: O20151103000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen M Fahey, APRN 40 Cross St, Norwalk, CT 06851-4647 Ph: (203) 229-2000 | Ellen M Fahey, APRN 40 Cross St, Norwalk, CT 06851-4647 Ph: (203) 229-2000 |
Yuliya Koshkina, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 520 West Ave, Norwalk, CT 06850 Phone: 203-852-2740 | |
Lianna Dimmock, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 761 Main Ave Bldg A, Norwalk, CT 06851 Phone: 203-810-4151 | |
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: Accepting Medicare Assignments Practice Location: 17 High St, Norwalk, CT 06851 Phone: 000-000-0000 Fax: 833-470-0750 | |
Tara M. Meady, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 761 Main Ave, Suite 200, Norwalk, CT 06851 Phone: 203-750-7400 |