| Mr Michael Christopher Proffitt, MSN | |
|
100 Grand St, New Britain, CT 06052-2016 | |
| (860) 224-5266 | |
| Not Available |
| Full Name | Mr Michael Christopher Proffitt |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 Grand St, New Britain, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508252933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 125598 (Connecticut) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 12.006164 (Connecticut) | Primary |
| Entity Name | North American Partners In Anesthesia Connecticut Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994775 PECOS PAC ID: 6709877939 Enrollment ID: O20040519000120 |
| Entity Name | Connecticut Gi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011 |
| Entity Name | Endoscopy Center Of Connecticut, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1386757854 PECOS PAC ID: 0143226712 Enrollment ID: O20070117000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Christopher Proffitt, MSN 114 Valley Dr, Berlin, CT 06037-3002 Ph: (860) 518-4487 | Mr Michael Christopher Proffitt, MSN 100 Grand St, New Britain, CT 06052-2016 Ph: (860) 224-5266 |
Ms. Kristine M Glenney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 | |
Jacqueline Futia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5266 | |
Christina Koscuk, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 | |
Mr. Christopher Collins Weldon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5266 Fax: 860-826-4992 | |
Mrs. Patricia Pearsall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5266 | |
Jason Andrews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5266 | |
Melissa Norona, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 |