| Mrs Jacqueline Lagasse, MSN, NP-C | |
|
196 Parkway S, Suite 303, Waterford, CT 06385-1234 | |
| (860) 443-4455 | |
| (860) 447-8961 |
| Full Name | Mrs Jacqueline Lagasse |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 196 Parkway S, Waterford, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255745014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 111731 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5757 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Westerly Hospital | Westerly, RI | Hospital |
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline Lagasse, MSN, NP-C 196 Parkway S 304, Waterford, CT 06385-1234 Ph: (860) 442-7027 | Mrs Jacqueline Lagasse, MSN, NP-C 196 Parkway S, Suite 303, Waterford, CT 06385-1234 Ph: (860) 443-4455 |
Jane P Genido-trujillo, MS,APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Waterford Pkwy S, Waterford, CT 06385 Phone: 860-444-3744 | |
Michelle Lynn Harris, APRN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 567 Vauxhall Street Ext Ste 304, Waterford, CT 06385 Phone: 860-373-7170 Fax: 833-392-1165 | |
Alexandra Lamonica, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S, Waterford, CT 06385 Phone: 860-443-4455 | |
Melina Spanos, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Colonial Dr, Waterford, CT 06385 Phone: 860-460-5961 | |
Patricia Mcclure, APRN, PMH-NP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Mayfair Dr, Waterford, CT 06385 Phone: 860-442-6567 Fax: 860-440-3620 | |
Kimberly Stubbs, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4 Greentree Dr, Waterford, CT 06385 Phone: 860-442-0647 | |
Ms. Dana Maria Kinard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 Waterford Pkwy S, Waterford, CT 06385 Phone: 860-444-3744 |