| Orawan Gardner, | |
|
130 Division St, Derby, CT 06418-1326 | |
| (203) 735-7421 | |
| Not Available |
| Full Name | Orawan Gardner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 130 Division St, Derby, 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 |
|---|---|---|---|
| 1710469333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7801 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1329 |
| Yale University | 9436061736 | 2389 |
| 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 | The Griffin Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184639973 PECOS PAC ID: 8921901984 Enrollment ID: O20040128000937 |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Orawan Gardner, 33 Dixwell Ave # 191, New Haven, CT 06511-3403 Ph: (203) 303-9262 | Orawan Gardner, 130 Division St, Derby, CT 06418-1326 Ph: (203) 735-7421 |
Dr. Dwayne Alansier Hall, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 | |
Maria Cutrali, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St Fl 1, Derby, CT 06418 Phone: 203-732-1257 Fax: 203-732-2470 | |
Carol Lauer, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 | |
Katherine N Bunger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St Fl 1, Derby, CT 06418 Phone: 203-732-1257 Fax: 203-732-2470 | |
Elizabeth Anne Starnes, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Heather Eckenrode, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 | |
Christie M Czarnecki, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7252 Fax: 203-732-1539 |