| Mr Charles Benjamin Ngo, PMHNP | |
|
200 Retreat Ave, Hartford, CT 06102-3101 | |
| (860) 545-7295 | |
| Not Available |
| Full Name | Mr Charles Benjamin Ngo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 200 Retreat Ave, Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245081389 | NPI | - | NPPES |
| 2024028681 | Other | AACN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 10.218533 (Connecticut) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 013347 (Connecticut) | Primary |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Benjamin Ngo, PMHNP 332 Hawk Valley Dr, Travelers Rest, SC 29690-7307 Ph: (714) 277-7886 | Mr Charles Benjamin Ngo, PMHNP 200 Retreat Ave, Hartford, CT 06102-3101 Ph: (860) 545-7295 |
Caitlin R Rival, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-253-5020 | |
Mrs. Brooke M P Chaves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4680 | |
Jocelyn Calabro, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4000 | |
Michael Brian Banik, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 | |
Deborah Mcgrath, APRN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Hartford, CT 06105 Phone: 860-714-4786 | |
Marlo L Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Seymour St, Hartford, CT 06106 Phone: 860-972-0475 | |
Olivia Holubecki, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9290 |