| Kristin D Mehta, AGPCNP | |
|
208 Valley Rd, New Canaan, CT 06840-3812 | |
| (866) 542-4455 | |
| Not Available |
| Full Name | Kristin D Mehta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 208 Valley Rd, New Canaan, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760916761 | NPI | - | NPPES |
| 1760916761 | Medicaid | WI | |
| K400387628 | Other | WI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7564 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 8730 (Connecticut) | Primary |
| Entity Name | Silver Hill Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982658035 PECOS PAC ID: 8628039393 Enrollment ID: O20041026000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin D Mehta, AGPCNP 208 Valley Rd, New Canaan, CT 06840-3812 Ph: (866) 542-4455 | Kristin D Mehta, AGPCNP 208 Valley Rd, New Canaan, CT 06840-3812 Ph: (866) 542-4455 |
Courtney Simone Swenson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 173 East Ave, New Canaan, CT 06840 Phone: 203-972-4250 | |
Kimberly Garruto Morgan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Pine St Ste 6a, New Canaan, CT 06840 Phone: 203-399-2935 | |
Sarah Laing Handler, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 173 East Ave, New Canaan, CT 06840 Phone: 203-963-9942 |