| Mrs Mariamu Tshilenge, | |
|
1650 James Farm Rd, Stratford, CT 06614-8913 | |
| (203) 571-2206 | |
| Not Available |
| Full Name | Mrs Mariamu Tshilenge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1650 James Farm Rd, Stratford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922739671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022000507 (Connecticut) | Primary |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200114001048 |
| Entity Name | Infinite Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20210128000082 |
| Entity Name | Proactive Health Care Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811641145 PECOS PAC ID: 8022497874 Enrollment ID: O20220624000766 |
| Entity Name | Careconnectmd Connecticut P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467187336 PECOS PAC ID: 4486037975 Enrollment ID: O20220816002266 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mariamu Tshilenge, 1650 James Farm Rd, Stratford, CT 06614-8913 Ph: (203) 571-2206 | Mrs Mariamu Tshilenge, 1650 James Farm Rd, Stratford, CT 06614-8913 Ph: (203) 571-2206 |
Katherine Bajda, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 837 Prospect Drive, Stratford, CT 06615 Phone: 203-521-6905 | |
Denise Ace, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 99 Hawley Ln, Stratford, CT 06614 Phone: 203-666-8145 | |
Christine Rosa, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hawley Ln, Stratford, CT 06614 Phone: 203-383-7735 Fax: 203-383-7735 | |
Mrs. Laura N Burr, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2184 Main St, Stratford, CT 06615 Phone: 203-378-9002 | |
Mrs. Liza Halper, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1450 James Farm Rd, Stratford, CT 06614 Phone: 203-209-2337 | |
Dr. Shaneika Amanda Mckenzie, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hawley Ln, Stratford, CT 06614 Phone: 866-389-2727 | |
Jacqueline Spano, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hawley Ln, Stratford, CT 06614 Phone: 203-383-7735 Fax: 203-375-0878 |