| Katelin Ashley Bouchard, APRN | |
|
130 Collins Rd, Bristol, CT 06010-3859 | |
| (860) 919-5626 | |
| Not Available |
| Full Name | Katelin Ashley Bouchard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 130 Collins Rd, Bristol, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013507110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9445 (Connecticut) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 9445 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Griffin Hospital | Derby, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Health Pc | 0941562664 | 79 |
| Entity Name | The Hospital of Central Connecticut at New Britain General and Bradley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
| Entity Name | Midstate Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
| Entity Name | Impact Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelin Ashley Bouchard, APRN 130 Collins Rd, Bristol, CT 06010-3859 Ph: (860) 919-5626 | Katelin Ashley Bouchard, APRN 130 Collins Rd, Bristol, CT 06010-3859 Ph: (860) 919-5626 |
Jennifer Lauren Hohman, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 839 Farmington Ave, Bristol, CT 06010 Phone: 816-786-0582 |
Kurt Segelbacher, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 279 Redstone Hill Rd Apt 62, Bristol, CT 06010 Phone: 845-709-1193 |
Angela Paradis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 N Main St, Bristol, CT 06010 Phone: 860-583-5858 |
Naya D Agodoa, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 395 N Main St, Bristol, CT 06010 Phone: 860-585-5000 |
Margaret E Weir, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 North St, Bristol, CT 06010 Phone: 860-314-2082 Fax: 860-314-8133 |
Julie Sacharko, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 N Main St Ste 101, Bristol, CT 06010 Phone: 860-920-4979 Fax: 833-471-4212 |
Holly Fitzgerald, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Clark Ave, Bristol, CT 06010 Phone: 860-583-7700 |