| Ms Keisha Asante, | |
|
12 Progress Dr Ste 1d, Shelton, CT 06484-6290 | |
| (475) 314-3011 | |
| Not Available |
| Full Name | Ms Keisha Asante |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 12 Progress Dr Ste 1d, Shelton, 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 |
|---|---|---|---|
| 1194286872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00892100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mozaic Senior Life | Bridgeport, CT | Nursing home |
| St Camillus Residential Health Care Facility | Syracuse, NY | Nursing home |
| Life Care Center Of Pensacola | Pensacola, FL | Nursing home |
| Touchpoints At Bloomfield | Bloomfield, CT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lumina Dr G Medical Pllc | 4183152457 | 11 |
| Lumina Dr G Medical Pllc | 4183152457 | 11 |
| Lumina Dr G Medical Pllc | 4183152457 | 11 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Post Acute Specialists Llc | 1951676568 | 180 |
| Post Acute Specialists Llc | 1951676568 | 180 |
| Lumina Dr G Medical Pllc | 4183152457 | 11 |
| Post Acute Specialists New Jersey Pc | 5294176483 | 14 |
| Entity Name | Lumina Dr G Medical PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407664469 PECOS PAC ID: 4183152457 Enrollment ID: O20250114003144 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Keisha Asante, 12 Progress Dr Ste 1d, Shelton, CT 06484-6290 Ph: Not Available | Ms Keisha Asante, 12 Progress Dr Ste 1d, Shelton, CT 06484-6290 Ph: (475) 314-3011 |
Susan Penque, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 Frans Way, Shelton, CT 06484 Phone: 516-640-6195 |
Jacqueline Aileen Gambeski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Corporate Dr Ste 290, Shelton, CT 06484 Phone: 203-452-8322 |
Dolores Starrett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Acadia Ln Unit 6103, Shelton, CT 06484 Phone: 203-808-5509 |
Mrs. Elyane L Michnick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Corporate Dr, Suite 420, Shelton, CT 06484 Phone: 203-925-9600 Fax: 203-926-0594 |
Mr. John Joseph Digiacomo, MSN, FNP-BC, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Corporate Dr Ste 394, Shelton, CT 06484 Phone: 032-250-3752 Fax: 203-225-0376 |
Mrs. Brittany Herman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 887 Bridgeport Ave, Shelton, CT 06484 Phone: 203-225-6020 |
Marie Oge-nerette, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Cranston Ave, Shelton, CT 06484 Phone: 203-209-4837 |