| Kayla Bari Penniman, AGPCNP-BC | |
|
5 Durham Rd, Guilford, CT 06437-2076 | |
| (203) 453-4444 | |
| (203) 458-9477 |
| Full Name | Kayla Bari Penniman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 5 Durham Rd, Guilford, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093550089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 13208 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Rehabilitation Associates Inc | 8022905322 | 379 |
| 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 |
|---|---|
| Kayla Bari Penniman, AGPCNP-BC 5 Durham Rd, Guilford, CT 06437-2076 Ph: (203) 453-4444 | Kayla Bari Penniman, AGPCNP-BC 5 Durham Rd, Guilford, CT 06437-2076 Ph: (203) 453-4444 |
Cassandra Tetrault, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1057 Boston Post Rd Ste 2, Guilford, CT 06437 Phone: 866-389-2727 | |
Mr. Paul Mainella, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1057 Boston Post Rd Ste 2, Guilford, CT 06437 Phone: 203-458-1444 | |
Jody Heffernan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Goose Ln, Guilford, CT 06437 Phone: 203-458-2097 | |
Jill Mceachern, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Boston Post Rd, Unit 6c, Guilford, CT 06437 Phone: 475-308-8619 | |
Mrs. Danielle L Deline, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1057 Boston Post Road, Guilford, CT 06437 Phone: 866-389-2727 | |
Meghan Killilea Galli, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1057 Boston Post Rd Ste 2, Guilford, CT 06437 Phone: 203-458-1444 |