| 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 | 8 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 |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7896 (Connecticut) | Primary |
| 163WM0705X | Registered Nurse - Medical-surgical | 119083 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Griffin Hospital | Derby, CT | Hospital |
| Maplewood Park Place | Bethesda, MD | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 3726 |
| Suburban/nrh Medical Rehabilitation Inc | 6507846771 | 885 |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle S Koduah, APRN 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: Not Available | 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 |
Olivia K Halvorson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Capital Blvd Ste 402458, Rocky Hill, CT 06067 Phone: 860-421-9172 |
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 |
Staci Lynn Hite, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Elm St Ste 106, Rocky Hill, CT 06067 Phone: 860-625-4472 Fax: 860-812-2130 |