| Nicholas Mudry, | |
|
500 W Putnam Ave Fl 2, Greenwich, CT 06830-2937 | |
| (877) 925-3637 | |
| Not Available |
| Full Name | Nicholas Mudry |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 500 W Putnam Ave Fl 2, Greenwich, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326752684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 12235 (Connecticut) | Primary |
| 163W00000X | Registered Nurse | 143925 (Connecticut) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yale University | 9436061736 | 2644 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Mudry, 158 Broad St Apt H, Milford, CT 06460-4758 Ph: () - | Nicholas Mudry, 500 W Putnam Ave Fl 2, Greenwich, CT 06830-2937 Ph: (877) 925-3637 |
Alyssa Lodato, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Ponderosa Dr, Greenwich, CT 06830 Phone: 203-253-2587 | |
Taylor Pecora-saipe, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W Putnam Ave, Greenwich, CT 06830 Phone: 877-925-3637 | |
Suma Gupta, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Lafayette Pl, Greenwich, CT 06830 Phone: 203-863-3031 | |
Dana Barbieri, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Old Field Point Rd Fl 3, Greenwich, CT 06830 Phone: 203-862-4000 | |
Christopher Miller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Perryridge Rd, Greenwich, CT 06830 Phone: 203-863-3000 | |
Emilee Bischof, MSN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 E Putnam Ave Lowr Level, Greenwich, CT 06830 Phone: 203-935-8454 | |
Kimberly Bruenn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43 Greenwich Ave, Greenwich, CT 06830 Phone: 203-489-3118 |