| Olga Selikhov, APRN | |
|
125 Hemlock Point Dr, Coventry, CT 06238-2336 | |
| (860) 977-6281 | |
| (860) 724-2346 |
| Full Name | Olga Selikhov |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 125 Hemlock Point Dr, Coventry, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235161084 | NPI | - | NPPES |
| 400003094CT03 | Other | CT | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 003094 (Connecticut) | Primary |
| 363L00000X | Nurse Practitioner | 003094 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Mary's Hospital | Waterbury, CT | Hospital |
| Waterbury Hospital | Waterbury, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moonshot Psychiatric Nurse Practitioner Pc | 9335589696 | 76 |
| The Connecticut Institute For The Blind Inc. | 4385926088 | 2 |
| Moonshot Psychiatric Nurse Practitioner Pc | 9335589696 | 76 |
| Entity Name | Moonshot Psychiatric Nurse Practitioner Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669158879 PECOS PAC ID: 9335589696 Enrollment ID: O20250421000582 |
| Mailing Address | Practice Location Address |
|---|---|
| Olga Selikhov, APRN 125 Hemlock Point Dr, Coventry, CT 06238-2336 Ph: (860) 977-6281 | Olga Selikhov, APRN 125 Hemlock Point Dr, Coventry, CT 06238-2336 Ph: (860) 977-6281 |
Nicole Marilyn Wagschal, MSN APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3514 Main St, Cvs- Minute Clinic, Coventry, CT 06238 Phone: 866-389-2727 | |
Elizabeth A Mayerson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1776 Boston Tpke, Coventry, CT 06238 Phone: 860-742-0807 Fax: 860-742-8702 | |
Ms. Alisa Lyudmila Da Costa-rodrigues, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3514 Main St, Coventry, CT 06238 Phone: 866-389-2727 | |
Linda L Starr, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1153 Main St, Coventry, CT 06238 Phone: 860-847-7948 Fax: 860-413-0886 | |
Ms. Mavis Elizabeth Godley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3514 Main St, Cvs Health Minuteclinic, Coventry, CT 06238 Phone: 860-742-3543 | |
Melody Len Lopreiato, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3514 Main St, Coventry, CT 06238 Phone: 866-389-2727 |