Shavonne Larcenia Overton, | |
158 Amity Rd # 280, New Haven, CT 06515-1405 | |
(203) 404-3463 | |
(203) 563-9255 |
Full Name | Shavonne Larcenia Overton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 158 Amity Rd # 280, 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 |
---|---|---|---|
1922713254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 12.011424 (Connecticut) | Primary |
Entity Name | Hdc Care Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033861349 PECOS PAC ID: 0345634770 Enrollment ID: O20220315001878 |
Entity Name | Careconnectmd Connecticut P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467187336 PECOS PAC ID: 4486037975 Enrollment ID: O20220816002266 |
Entity Name | Nova Physician Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093561136 PECOS PAC ID: 7810428166 Enrollment ID: O20240927001112 |
Mailing Address | Practice Location Address |
---|---|
Shavonne Larcenia Overton, Po Box 745254, Atlanta, GA 30374-5254 Ph: (773) 352-1515 | Shavonne Larcenia Overton, 158 Amity Rd # 280, New Haven, CT 06515-1405 Ph: (203) 404-3463 |
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: Not Enrolled in Medicare 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: Not Enrolled in Medicare Practice Location: 800 Howard Ave, New Haven, CT 06519 Phone: 203-785-2565 |