| Leah Trickett, | |
|
41 Brewster Rd, Bristol, CT 06010-5161 | |
| (860) 585-3000 | |
| Not Available |
| Full Name | Leah Trickett |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 41 Brewster Rd, Bristol, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508512153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portsmouth Regional Hospital | Portsmouth, NH | Hospital |
| York Hospital | York, ME | Hospital |
| Frisbie Memorial Hospital | Rochester, NH | Hospital |
| Parkland Medical Center | Derry, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portsmouth Trauma And Surgical Care, Llc | 7012375819 | 16 |
| Entity Name | Appledore Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720077167 PECOS PAC ID: 5698666154 Enrollment ID: O20040601000165 |
| Entity Name | Portsmouth Trauma and Surgical Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770296659 PECOS PAC ID: 7012375819 Enrollment ID: O20230627002013 |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Trickett, 41 Brewster Rd, Bristol, CT 06010-5161 Ph: Not Available | Leah Trickett, 41 Brewster Rd, Bristol, CT 06010-5161 Ph: (860) 585-3000 |
Ashley Anne Proulx, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Pine St Ste 104, Bristol, CT 06010 Phone: 860-584-8291 |
Gina F Lidestri, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3313 |
Mr. Joseph Claude Labell Jr., MHS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1301 Farmington Ave, Bristol, CT 06010 Phone: 860-589-4501 |
Shelby Spazzarini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Collins Rd, Bristol, CT 06010 Phone: 860-589-8882 Fax: 860-585-8898 |
Erica Stolarz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3000 |
Christopher Tagliavini, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 22 Pine St, Bristol, CT 06010 Phone: 860-584-8291 Fax: 860-584-8354 |
Antonio Santoro, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Bristol Hospital, Brewster Rd., Bristol, CT 06011 Phone: 860-585-3528 |