| Mr Brandon Pervis Sr, APRN, FNP-C | |
|
83 Wooster Hts Ste 125, Danbury, CT 06810-7550 | |
| (203) 957-3938 | |
| (866) 266-4842 |
| Full Name | Mr Brandon Pervis Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 83 Wooster Hts Ste 125, Danbury, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821405127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5748 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5748 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Qmg 2 Llc | 0345541512 | 11 |
| Qmg5 Llc | 2062820913 | 14 |
| Qmg4 Llc | 4284912957 | 12 |
| Quentin Medical Group Llc | 4981833647 | 13 |
| Qmg3 Llc | 8628353117 | 13 |
| Entity Name | Quentin Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487087250 PECOS PAC ID: 4981833647 Enrollment ID: O20140130000098 |
| Entity Name | Qmg 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437546363 PECOS PAC ID: 0345541512 Enrollment ID: O20151211000754 |
| Entity Name | Qmg4 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023471299 PECOS PAC ID: 4284912957 Enrollment ID: O20161031002469 |
| Entity Name | Qmg3 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053856039 PECOS PAC ID: 8628353117 Enrollment ID: O20170324000321 |
| Entity Name | Impact Health Psych Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730781022 PECOS PAC ID: 6204248149 Enrollment ID: O20201217000105 |
| Entity Name | Qmg5 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386233344 PECOS PAC ID: 2062820913 Enrollment ID: O20210414002118 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brandon Pervis Sr, APRN, FNP-C 33 Dixwell Ave Ste 278, New Haven, CT 06511-3403 Ph: (203) 957-3938 | Mr Brandon Pervis Sr, APRN, FNP-C 83 Wooster Hts Ste 125, Danbury, CT 06810-7550 Ph: (203) 957-3938 |
Mrs. Jennifer Mary Danieli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Milestone Rd, Danbury, CT 06810 Phone: 203-702-7400 Fax: 203-702-7401 | |
Linda Lee Cook, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000 | |
Diane Kay Bowler, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000 | |
Jodi Lynn Dostaler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7101 | |
Mrs. Erin Marie Macdonald, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000 | |
Jina M Louisius, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000 | |
Ann M Hawkins, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79 Sand Pit Rd Ste 102, Danbury, CT 06810 Phone: 203-749-5700 |