| Renee M Brockett, NP | |
| 
					20 York St, New Haven, CT 06510-3220  | |
| (203) 688-2318 | |
| Not Available | 
| Full Name | Renee M Brockett | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Neonatal | 
| Location | 20 York St, New Haven, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639133077 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | 002506 (Connecticut) | Primary | 
| 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  | 
| Entity Name | Prospect Ct Medical Foundation Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Renee M Brockett, NP 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-2318  | Renee M Brockett, NP 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-2318  | 
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  |