| Jane P Genido-trujillo, MS,APRN | |
|
230 Waterford Pkwy S, Waterford, CT 06385-1219 | |
| (860) 444-3744 | |
| Not Available |
| Full Name | Jane P Genido-trujillo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 230 Waterford Pkwy S, Waterford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184876708 | NPI | - | NPPES |
| 803887 | Other | CT | CONNECTICARE |
| 008003100 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 003887 (Connecticut) | Secondary |
| 363L00000X | Nurse Practitioner | 003887 (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 |
|---|---|
| Jane P Genido-trujillo, MS,APRN 230 Waterford Pkwy S, Waterford, CT 06385-1219 Ph: (860) 444-3744 | Jane P Genido-trujillo, MS,APRN 230 Waterford Pkwy S, Waterford, CT 06385-1219 Ph: (860) 444-3744 |
Alyssa Szydlo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Dayton Rd Ste 204, Waterford, CT 06385 Phone: 860-442-0290 |
Alexandra Lamonica, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S, Waterford, CT 06385 Phone: 860-443-4455 |
Agnes Maria Toplosky, C-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Waterford Pkwy S, Waterford, CT 06385 Phone: 860-444-3744 |
Melina Spanos, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Colonial Dr, Waterford, CT 06385 Phone: 860-460-5961 |
Patricia Mcclure, APRN, PMH-NP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Mayfair Dr, Waterford, CT 06385 Phone: 860-442-6567 Fax: 860-440-3620 |
Sarah Dolan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Dayton Rd Ste 204, Waterford, CT 06385 Phone: 860-442-0290 Fax: 860-442-2136 |
Kimberly Stubbs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Greentree Dr, Waterford, CT 06385 Phone: 860-442-0647 |