| Mr Ananias Gloria Iii, NP | |
|
101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 | |
| (888) 964-6681 | |
| (888) 662-0859 |
| Full Name | Mr Ananias Gloria Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 101 Centerpoint Dr Ste 215, Middletown, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043091408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 12.012499 (Connecticut) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 12.012499 (Connecticut) | Primary |
| Entity Name | Prospect Ct Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
| 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 |
|---|---|
| Mr Ananias Gloria Iii, NP 41 Grieb Trl, Wallingford, CT 06492-2655 Ph: () - | Mr Ananias Gloria Iii, NP 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 Ph: (888) 964-6681 |
Christina M Barrows, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-358-6394 Fax: 860-358-6748 | |
Kendall Elizabeth Cote, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-942-6983 | |
Danielle Langer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Saybrook Rd Ste 205, Middletown, CT 06457 Phone: 860-346-7738 Fax: 860-347-2097 | |
Mae Joy E. Falk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Nutmeg Ct, Middletown, CT 06457 Phone: 860-346-4133 | |
Tina M Taylor, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Saybrook Rd Ste 206, Middletown, CT 06457 Phone: 860-344-0333 | |
Stacey Durr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 S Main St, Middletown, CT 06457 Phone: 860-358-6486 |