| Medha Patel Desai, | |
|
85 Jefferson St, Hartford, CT 06106-2601 | |
| (860) 995-8292 | |
| Not Available |
| Full Name | Medha Patel Desai |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 85 Jefferson St, Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861010811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 145723 (Connecticut) | Secondary |
| 363L00000X | Nurse Practitioner | 9868 (Connecticut) | Primary |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Medha Patel Desai, 215 Georgetown Dr, Glastonbury, CT 06033-2348 Ph: (860) 995-8292 | Medha Patel Desai, 85 Jefferson St, Hartford, CT 06106-2601 Ph: (860) 995-8292 |
Caitlin R Rival, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-253-5020 | |
Mrs. Brooke M P Chaves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4680 | |
Jocelyn Calabro, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4000 | |
Michael Brian Banik, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 | |
Deborah Mcgrath, APRN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Hartford, CT 06105 Phone: 860-714-4786 | |
Marlo L Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Seymour St, Hartford, CT 06106 Phone: 860-972-0475 | |
Olivia Holubecki, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9290 |