| Ms Marlene Marie Dolat, APRN | |
|
289 Windham Rd, Willimantic, CT 06226-3528 | |
| (860) 465-2650 | |
| Not Available |
| Full Name | Ms Marlene Marie Dolat |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 289 Windham Rd, Willimantic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255600326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 004812 (Connecticut) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4812 (Connecticut) | Primary |
| Entity Name | Rushford Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275541005 PECOS PAC ID: 1153227756 Enrollment ID: O20040223000535 |
| Entity Name | United Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063413011 PECOS PAC ID: 8426042698 Enrollment ID: O20040412000491 |
| Entity Name | Prospect Rockville Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205283538 PECOS PAC ID: 4880988211 Enrollment ID: O20160913001880 |
| Entity Name | Prospect Manchester Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Marlene Marie Dolat, APRN 289 Windham Rd, Willimantic, CT 06226-3528 Ph: (860) 465-2650 | Ms Marlene Marie Dolat, APRN 289 Windham Rd, Willimantic, CT 06226-3528 Ph: (860) 465-2650 |
Bethany Joy Kennedy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-9116 | |
Patricia S Masopust, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, United Services, Willimantic, CT 06226 Phone: 860-456-2261 | |
Kari A. Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213 | |
Ariye M Krassner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 | |
Dr. Rachell Laureena Farnham, DNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 | |
Christine Nilson Mccarthy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 185 Birch Street, Willimantic, CT 06226 Phone: 860-465-5263 Fax: 860-465-4560 | |
Melissa Bohan-hallenbeck, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6965 Fax: 860-456-6969 |