| Laura Bracale, PMHCNS-BC,APRN | |
|
112 Quarry Rd Ste 160, Trumbull, CT 06611-4877 | |
| (203) 551-7350 | |
| (203) 371-0549 |
| Full Name | Laura Bracale |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 112 Quarry Rd Ste 160, Trumbull, 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 |
|---|---|---|---|
| 1194790725 | NPI | - | NPPES |
| 0354009 | Other | ANCC- ADULT PSYCHIATRIC-MENTAL HEALTH CLINICAL NURSE SPECIALIST | |
| E60587 | Other | CT | REGISTERED NURSE LICENSE |
| 002541 | Other | CT | APRN LICENSE |
| 00235918 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 002541 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
| 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 |
|---|---|
| Laura Bracale, PMHCNS-BC,APRN 112 Quarry Rd Ste 160, Trumbull, CT 06611-4877 Ph: (203) 551-7350 | Laura Bracale, PMHCNS-BC,APRN 112 Quarry Rd Ste 160, Trumbull, CT 06611-4877 Ph: (203) 551-7350 |