| Michelle S Koduah, APRN | |
|
400 Capital Blvd, Rocky Hill, CT 06067-3576 | |
| (860) 221-0791 | |
| Not Available |
| Full Name | Michelle S Koduah |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 400 Capital Blvd, Rocky Hill, 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 |
|---|---|---|---|
| 1033692819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | 119083 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 7896 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Griffin Hospital | Derby, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hdc Care Solutions Llc | 0345634770 | 146 |
| Value Based Long Term Care H Pc | 4587104641 | 143 |
| Entity Name | Gaylord Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730137753 PECOS PAC ID: 1153224191 Enrollment ID: O20040128000878 |
| 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 |
| Entity Name | Hdc Care Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033861349 PECOS PAC ID: 0345634770 Enrollment ID: O20220315001878 |
| Entity Name | Careconnectmd Connecticut P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467187336 PECOS PAC ID: 4486037975 Enrollment ID: O20220816002266 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle S Koduah, APRN 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: () - | Michelle S Koduah, APRN 400 Capital Blvd, Rocky Hill, CT 06067-3576 Ph: (860) 221-0791 |
Emily Flagg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1084 Cromwell Ave, Rocky Hill, CT 06067 Phone: 860-721-9199 | |
Irene G Topping, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 323 Cromwell Ave, Rocky Hill, CT 06067 Phone: 866-389-2727 Fax: 401-652-9787 | |
Ms. Diane Stella, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 323 Cromwell Ave, Rocky Hill, CT 06067 Phone: 347-215-4665 | |
Mr. Thomas A Bondarchuk, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1084 Cromwell Ave, Suite 202, Rocky Hill, CT 06067 Phone: 860-780-2002 Fax: 860-257-0147 | |
Leeanne Lachapelle, A.P.R.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Enterprise Dr, Rocky Hill, CT 06067 Phone: 860-377-2272 | |
Mr. Alfred Dean Rubino, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Enterprise Dr, Rocky Hill, CT 06067 Phone: 860-858-5089 | |
Jennifer Fitzgerald, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 323 Cromwell Avenue, Minute Clinic Llc, Rocky Hill, CT 06067 Phone: 866-389-2727 |