| Kristin Marie Mahan, | |
|
620 Norwich New London Tpke, Uncasville, CT 06382-2156 | |
| (860) 892-8012 | |
| (860) 892-8027 |
| Full Name | Kristin Marie Mahan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 620 Norwich New London Tpke, Uncasville, 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 |
|---|---|---|---|
| 1750663860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 004797 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| William W Backus Hospital | Norwich, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Balanced Wellness Primary Care, Llc | 6901048255 | 4 |
| Entity Name | Balanced Wellness Primary Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780926774 PECOS PAC ID: 6901048255 Enrollment ID: O20130815000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Marie Mahan, 620 Norwich New London Tpke, Uncasville, CT 06382-2156 Ph: (860) 892-8012 | Kristin Marie Mahan, 620 Norwich New London Tpke, Uncasville, CT 06382-2156 Ph: (860) 892-8012 |
Danielle Lee Mallory, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-892-8012 | |
Mrs. Nicole Eddy Ortiz, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-848-1297 | |
Kathleen Eagle, MSN, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 620 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-892-8012 Fax: 860-892-8027 | |
Mrs. Deborah Elizabeth Donat, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382 Phone: 860-367-0087 Fax: 860-367-0117 | |
Heather Landry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Sandy Desert Rd, Uncasville, CT 06382 Phone: 860-464-3600 | |
Kuljit Kaur, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382 Phone: 860-367-0087 | |
Anxhela Uzhuri, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 88 Norwich-new London Turnpike #2e, Uncasville, CT 06382 Phone: 860-367-0087 |