| Mrs Maria Banevicius, APRN | |
|
419 Middle Tpke W, Manchester, CT 06040-3833 | |
| (860) 643-1607 | |
| (203) 752-8785 |
| Full Name | Mrs Maria Banevicius |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 419 Middle Tpke W, Manchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659354827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 000714 (Connecticut) | Primary |
| Entity Name | Wheeler Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
| Entity Name | Intercommunity Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073548533 PECOS PAC ID: 9032001649 Enrollment ID: O20040329000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Maria Banevicius, APRN 345 Whitney Ave, New Haven, CT 06511-2348 Ph: (203) 752-2856 | Mrs Maria Banevicius, APRN 419 Middle Tpke W, Manchester, CT 06040-3833 Ph: (860) 643-1607 |
Mrs. Sarah A Diramio, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4176 Fax: 860-649-5219 | |
Joanna Mrozek, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Oak St, Manchester, CT 06040 Phone: 860-559-6867 | |
Michelle Malz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 | |
Melissa A Moynihan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 N Main St, Manchester, CT 06042 Phone: 860-528-1359 | |
Mrs. Michelle Louton Vanduinen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 587 Middle Tpke E, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Christina Marie Martin, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319b Main St, Manchester, CT 06040 Phone: 860-643-1607 | |
Andrew Lauzier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 Fax: 866-603-4163 |