| Kristen Leigh Easey Wackelin, PA-C | |
|
7 Elm St Ste 201, Enfield, CT 06082-3670 | |
| (860) 636-2010 | |
| Not Available |
| Full Name | Kristen Leigh Easey Wackelin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 7 Elm St Ste 201, Enfield, 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 |
|---|---|---|---|
| 1477969186 | NPI | - | NPPES |
| 012578900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 6200 (Connecticut) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA9108005 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Middlesex Hospital | Middletown, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1555 |
| Entity Name | Hartford Healthcare Medical Group Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Leigh Easey Wackelin, PA-C 126 Woodruff Rd, Farmington, CT 06032-2030 Ph: (941) 284-3850 | Kristen Leigh Easey Wackelin, PA-C 7 Elm St Ste 201, Enfield, CT 06082-3670 Ph: (860) 636-2010 |
Mrs. Melissa D'amato, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 140 Hazard Ave Ste 105, Enfield, CT 06082 Phone: 860-714-9733 Fax: 860-714-8136 |
Madeline Murphy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 170 Hazard Ave, Enfield, CT 06082 Phone: 860-749-2022 Fax: 860-763-1398 |
Brianna Mae Jarvis, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Hazard Ave, Enfield, CT 06082 Phone: 860-745-9911 |
Brian P Weber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Hazard Ave, Enfield, CT 06082 Phone: 860-745-9911 |
Marissa Cardell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 Hazard Ave Ste 2, Enfield, CT 06082 Phone: 860-698-6041 |
Mrs. Sarah Leigh Lasala, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 113 Elm St Ste 304, Enfield, CT 06082 Phone: 860-741-2225 Fax: 860-741-2229 |
Julie M Wondolowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Enfield St, Enfield, CT 06082 Phone: 860-741-6058 Fax: 860-741-6864 |