| Dr Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN | |
|
1579 Straits Tpke Ste 1e, Middlebury, CT 06762-1835 | |
| (203) 490-1000 | |
| Not Available |
| Full Name | Dr Rebecca Gagne Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1579 Straits Tpke Ste 1e, Middlebury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851521215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4925 (Connecticut) | Primary |
| 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 |
| Entity Name | Mhs Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366968182 PECOS PAC ID: 4082507371 Enrollment ID: O20171214000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN 6400 Shafer Ct Ste 700, Rosemont, IL 60018-4989 Ph: (346) 376-1702 | Dr Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN 1579 Straits Tpke Ste 1e, Middlebury, CT 06762-1835 Ph: (203) 490-1000 |
Milagros Arel Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 199 Park Road Ext, Middlebury, CT 06762 Phone: 203-437-3111 | |
Carolyn Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Straits Tpke, Middlebury, CT 06762 Phone: 203-758-2564 | |
Muneera Panjwani, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1579 Straits Tpke, Middlebury, CT 06762 Phone: 203-598-7246 Fax: 203-598-0200 | |
Monica Erwin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 64 E Ridge Dr, Middlebury, CT 06762 Phone: 203-695-8212 | |
Ana Quintana Villafuerte, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 N Benson Rd, Middlebury, CT 06762 Phone: 203-758-1316 | |
Ami S Marshall, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Middlebury Rd Ste 103a, Middlebury, CT 06762 Phone: 203-527-6953 Fax: 203-528-4331 | |
Emma O'neil, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1579 Straits Tpke, Middlebury, CT 06762 Phone: 203-598-7246 |