Melina Spanos, | |
24 Colonial Dr, Waterford, CT 06385-3332 | |
(860) 460-5961 | |
Not Available |
Full Name | Melina Spanos |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 24 Colonial Dr, Waterford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518786276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 13957 (Connecticut) | Primary |
Entity Name | A Sound Mind Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003492562 PECOS PAC ID: 0244639912 Enrollment ID: O20210528002100 |
Mailing Address | Practice Location Address |
---|---|
Melina Spanos, 24 Colonial Dr, Waterford, CT 06385-3332 Ph: (860) 460-5961 | Melina Spanos, 24 Colonial Dr, Waterford, CT 06385-3332 Ph: (860) 460-5961 |
Jane P Genido-trujillo, MS,APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 230 Waterford Pkwy S, Waterford, CT 06385 Phone: 860-444-3744 | |
Michelle Lynn Harris, APRN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 567 Vauxhall Street Ext Ste 304, Waterford, CT 06385 Phone: 860-373-7170 Fax: 833-392-1165 | |
Alexandra Lamonica, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S, Waterford, CT 06385 Phone: 860-443-4455 | |
Patricia Mcclure, APRN, PMH-NP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Mayfair Dr, Waterford, CT 06385 Phone: 860-442-6567 Fax: 860-440-3620 | |
Kimberly Stubbs, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Greentree Dr, Waterford, CT 06385 Phone: 860-442-0647 | |
Jessie R Baudner, ANP BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S Ste 306, Waterford, CT 06385 Phone: 860-447-2489 Fax: 860-437-1231 |