| Mrs Kathleen Bonin, APRN | |
|
42 Town St Ste 300, Norwich, CT 06360-2339 | |
| (860) 886-0567 | |
| (860) 886-0567 |
| Full Name | Mrs Kathleen Bonin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 42 Town St Ste 300, Norwich, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588653596 | NPI | - | NPPES |
| 400002975CT01 | Other | CT | ANTHEM BLUE CROSS |
| P3245483 | Other | CT | OXFORD |
| 004242848 | Medicaid | CT | |
| 2V4906 | Other | CT | HEALTH NET |
| 102975 | Other | CT | CONNECTICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 002975 (Connecticut) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 002975 (Connecticut) | Primary |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathleen Bonin, APRN 42 Town St Ste 300, Norwich, CT 06360-2339 Ph: (860) 886-0567 | Mrs Kathleen Bonin, APRN 42 Town St Ste 300, Norwich, CT 06360-2339 Ph: (860) 886-0567 |
Mafe Duyan Rato, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 W West Main St, St 140, Norwich, CT 06360 Phone: 860-200-8098 | |
Meagan Gates, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 372 W Main St, Norwich, CT 06360 Phone: 860-887-5970 | |
Lianna Dimmock, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Campion Ave, Norwich, CT 06360 Phone: 860-367-3688 | |
Mrs. Polina Verbitsky-havasov, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 Town St Ste 300, Norwich, CT 06360 Phone: 860-886-0567 Fax: 860-886-0656 | |
John Kemp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Cliff St, Norwich, CT 06360 Phone: 860-887-6536 Fax: 860-823-3856 | |
Sarah Jean Robertson, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 W Main St, Norwich, CT 06360 Phone: 860-889-1400 | |
Ms. Lindsay Anne Bizzaro, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 614-378-1802 |