| Leonardo Marquez, | |
|
829 Main St Apt 1, Manchester, CT 06040-6024 | |
| (860) 712-3568 | |
| Not Available |
| Full Name | Leonardo Marquez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 829 Main St Apt 1, Manchester, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689373839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F02231122 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rockville General Hospital | Rockville, CT | Hospital |
| Manchester Memorial Hospital | Manchester, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Connecticut Physician Associates Llc | 5799919494 | 2 |
| Entity Name | Eastern Connecticut Physician Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821436007 PECOS PAC ID: 5799919494 Enrollment ID: O20140221000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Leonardo Marquez, 829 Main St Apt 1, Manchester, CT 06040-6024 Ph: (860) 712-3568 | Leonardo Marquez, 829 Main St Apt 1, Manchester, CT 06040-6024 Ph: (860) 712-3568 |
Mrs. Sarah A Diramio, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4176 Fax: 860-649-5219 | |
Joanna Mrozek, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Oak St, Manchester, CT 06040 Phone: 860-559-6867 | |
Michelle Malz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 | |
Mrs. Michelle Louton Vanduinen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 587 Middle Tpke E, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Christina Marie Martin, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319b Main St, Manchester, CT 06040 Phone: 860-643-1607 | |
Andrew Lauzier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 Fax: 866-603-4163 | |
Margaret A Albee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 419 Middle Tpke W, Manchester, CT 06040 Phone: 860-643-3598 Fax: 860-643-3599 |