| Paul Niedbala, | |
|
91 Voluntown Rd, Pawcatuck, CT 06379-1389 | |
| (860) 599-5477 | |
| Not Available |
| Full Name | Paul Niedbala |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 91 Voluntown Rd, Pawcatuck, 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 |
|---|---|---|---|
| 1194474122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10296 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Westerly Hospital | Westerly, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Entity Name | Mhs Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093138935 PECOS PAC ID: 4082507371 Enrollment ID: O20140814001234 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Niedbala, 11 Banker Ct, Pawcatuck, CT 06379-1345 Ph: (860) 235-0347 | Paul Niedbala, 91 Voluntown Rd, Pawcatuck, CT 06379-1389 Ph: (860) 599-5477 |
Karyn Bessette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Lathrop Ave, Pawcatuck, CT 06379 Phone: 860-912-8611 | |
Jennifer Roch Avedisian, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Liberty St Ste 102, Pawcatuck, CT 06379 Phone: 860-599-9961 Fax: 860-972-7040 | |
Janine Brooks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47 Elmridge Rd, Pawcatuck, CT 06379 Phone: 617-331-2014 | |
Catherine Krenicky, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 High Ridge Dr, Pawcatuck, CT 06379 Phone: 860-599-5654 Fax: 860-599-6004 | |
Mrs. Angela G Moore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 91 Voluntown Rd, Nemg Yale New Haven Hospital, Pawcatuck, CT 06379 Phone: 860-995-4778 Fax: 860-865-2375 | |
Kristen Fernandez, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 S Broad St, Pawcatuck, CT 06379 Phone: 860-860-5728 |