| Ms Marybeth Holak, ARNP | |
| 
					428 Columbus Avenue, Dermatology, New Haven, CT 06519-1233  | |
| (203) 503-3000 | |
| (203) 503-3224 | 
| Full Name | Ms Marybeth Holak | 
|---|---|
| Gender | Female | 
| Speciality | |
| Experience | Years | 
| Location | 428 Columbus Avenue, New Haven, 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 | 
|---|---|---|---|
| 1518067230 | NPI | - | NPPES | 
| P61979 | Other | NH | ANTHEM BCBS | 
| 008075168 | Medicaid | CT | |
| P00067536 | Other | NH | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6944 (Connecticut) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Marybeth Holak, ARNP 400 Columbus Avenue, Credentialing Specialist, New Haven, CT 06519-1233 Ph: (203) 503-3000  | Ms Marybeth Holak, ARNP 428 Columbus Avenue, Dermatology, New Haven, CT 06519-1233 Ph: (203) 503-3000  | 
Audrey P Senior, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-5860 Fax: 203-688-7533  | |
Ashley Antonucci, DNP- FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-688-8800  | |
Bailey Daum,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Trumbull St, New Haven, CT 06510 Phone: 646-270-4857  | |
Kentrone Vines, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242  | |
Mrs. Lisa Jane Warren, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-7952  | |
Mrs. Rocca L Perruccio, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3000 Fax: 203-503-3224  | |
Alexa Blood, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Howard Ave, New Haven, CT 06519 Phone: 203-785-2565  |