| Manhouly Phouthachack, | |
|
839 Farmington Ave, Bristol, CT 06010-3922 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Manhouly Phouthachack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 839 Farmington Ave, Bristol, 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 |
|---|---|---|---|
| 1295965481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 004098 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mc Diagnostic Of Connecticut, P.c. | 0941382113 | 66 |
| Minuteclinic Primary Care Connecticut Pllc | 0244740645 | 4 |
| Entity Name | MC Diagnostic of Connecticut, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386821932 PECOS PAC ID: 0941382113 Enrollment ID: O20080126000057 |
| Entity Name | Minuteclinic Primary Care Connecticut PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548076086 PECOS PAC ID: 0244740645 Enrollment ID: O20250605002654 |
| Mailing Address | Practice Location Address |
|---|---|
| Manhouly Phouthachack, 162 Washington Ave, North Haven, CT 06473-1711 Ph: (866) 389-2727 | Manhouly Phouthachack, 839 Farmington Ave, Bristol, CT 06010-3922 Ph: (866) 389-2727 |
Jennifer Lauren Hohman, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 839 Farmington Ave, Bristol, CT 06010 Phone: 816-786-0582 |
Angela Paradis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 N Main St, Bristol, CT 06010 Phone: 860-583-5858 |
Naya D Agodoa, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 395 N Main St, Bristol, CT 06010 Phone: 860-585-5000 |
Margaret E Weir, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 North St, Bristol, CT 06010 Phone: 860-314-2082 Fax: 860-314-8133 |
Julie Sacharko, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 N Main St Ste 101, Bristol, CT 06010 Phone: 860-920-4979 Fax: 833-471-4212 |
Holly Fitzgerald, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Clark Ave, Bristol, CT 06010 Phone: 860-583-7700 |
Allyson Paige Reynolds, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Farmington Ave, Bristol, CT 06010 Phone: 860-589-4501 |