| Madison Alaia Fucci, | |
|
1110 Durham Rd, Madison, CT 06443-1858 | |
| (203) 421-3600 | |
| Not Available |
| Full Name | Madison Alaia Fucci |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1110 Durham Rd, Madison, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164107421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 12036 (Connecticut) | Primary |
| Entity Name | Prohealth Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Alaia Fucci, 688 Goose Ln, Guilford, CT 06437-2111 Ph: (203) 980-4099 | Madison Alaia Fucci, 1110 Durham Rd, Madison, CT 06443-1858 Ph: (203) 421-3600 |
Amy G Golden, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 Durham Rd, Madison, CT 06443 Phone: 203-421-3600 | |
Tania Hossin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Boston Post Rd, Madison, CT 06443 Phone: 203-901-7242 | |
Meredith Chittenden Edwards, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Wildwood Ave, Madison, CT 06443 Phone: 203-245-8008 | |
Ms. Melissa Anne Gionfriddo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1291 Boston Post Rd Ste 200, Madison, CT 06443 Phone: 203-421-0444 | |
Victoria Chika Ogbejesi, NP-C, PMHNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 93 Ridge Rd, Madison, CT 06443 Phone: 203-606-4813 | |
Patrice M Wilhelm, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Woodland Rd Unit 3b, Madison, CT 06443 Phone: 203-350-2030 Fax: 478-202-9615 |