| Kelsey S Brennan, | |
|
464 Wolcott Rd, Wolcott, CT 06716-2626 | |
| (203) 879-6171 | |
| (203) 879-1191 |
| Full Name | Kelsey S Brennan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 464 Wolcott Rd, Wolcott, 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 |
|---|---|---|---|
| 1114606399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 030825 (New York) | Primary |
| Entity Name | The Connecticut Dermatology Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699881557 PECOS PAC ID: 9032147509 Enrollment ID: O20050727000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey S Brennan, 464 Wolcott Rd, Wolcott, CT 06716-2626 Ph: (203) 879-6171 | Kelsey S Brennan, 464 Wolcott Rd, Wolcott, CT 06716-2626 Ph: (203) 879-6171 |
Ms. Deanna Jean Cichon Zimkus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 464 Wolcott Rd Ste 3, Wolcott, CT 06716 Phone: 203-879-6171 Fax: 203-879-1191 |
Paula Joan Rogers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 464 Wolcott Road, Wolcott, CT 06716 Phone: 203-633-4560 Fax: 203-879-3566 |
David M Suhocki, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 464 Wolcott Rd Ste 3, Wolcott, CT 06716 Phone: 203-879-6171 Fax: 203-879-1191 |