| Mrs Wendy Griswold, APRN | |
|
270 Main St, Portland, CT 06480-1857 | |
| (860) 342-3392 | |
| (860) 358-8658 |
| Full Name | Mrs Wendy Griswold |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 270 Main St, Portland, 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 |
|---|---|---|---|
| 1639406184 | NPI | - | NPPES |
| 008014148 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 004197 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Middlesex Hospital | Middletown, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mhs Primary Care, Inc. | 4082507371 | 151 |
| Entity Name | Mhs Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336279058 PECOS PAC ID: 4082507371 Enrollment ID: O20040202000945 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Wendy Griswold, APRN 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-4820 | Mrs Wendy Griswold, APRN 270 Main St, Portland, CT 06480-1857 Ph: (860) 342-3392 |
Mrs. Carly M Odesina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Main St, Portland, CT 06480 Phone: 860-342-3392 Fax: 860-358-8658 | |
Morgan Bryant Feshler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Main St Ste A, Portland, CT 06480 Phone: 860-358-5040 | |
Miss Gabrielle Elizabeth Schiavone, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Main St Ste A, Portland, CT 06480 Phone: 860-358-5040 Fax: 860-358-8658 | |
Ms. Wendy Ann Tagan Conroy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Main St, Portland, CT 06480 Phone: 860-342-3392 Fax: 860-358-8658 |