| Mr Shawn Robert Putnam, NP | |
|
440 New Britain Ave, Plainville, CT 06062-2036 | |
| (860) 793-0500 | |
| (860) 793-1116 |
| Full Name | Mr Shawn Robert Putnam |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 440 New Britain Ave, Plainville, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033150719 | NPI | - | NPPES |
| 3V3059 | Other | CT | HEALTHNET PROVIDER # |
| 1033150719 | Other | CT | MEDICARE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 257127 (Massachusetts) | Primary |
| Entity Name | Comprehensive Pain Management Of Central Connecticut Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770776023 PECOS PAC ID: 8820181118 Enrollment ID: O20070831000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shawn Robert Putnam, NP 1801 Asylum Ave, West Hartford, CT 06117-2602 Ph: (860) 793-0500 | Mr Shawn Robert Putnam, NP 440 New Britain Ave, Plainville, CT 06062-2036 Ph: (860) 793-0500 |
Monika E. Kieltyka, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 N Mountain Rd, Plainville, CT 06062 Phone: 860-229-0100 Fax: 860-225-2647 | |
Danielle O'brien, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Plainville Internal Medicine, 120 West Main Street, Plainville, CT 06062 Phone: 860-747-0411 | |
Kayla Cristoferi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 N Mountain Rd Ste 102, Plainville, CT 06062 Phone: 860-224-5416 | |
Mrs. Deedee S Greco, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 W Main St, Plainville, CT 06062 Phone: 860-205-1650 | |
Patricia Ann Cables, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 Fax: 860-793-3520 | |
Teryn Andy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-798-8158 |