| Stanley Lorenz Koleszar, RN CRNP | |
|
7 Kennedy Dr, Putnam, CT 06260-1939 | |
| (860) 928-7704 | |
| (860) 928-4092 |
| Full Name | Stanley Lorenz Koleszar |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 7 Kennedy Dr, Putnam, 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 |
|---|---|---|---|
| 1972571354 | NPI | - | NPPES |
| 167622XZJ | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP010390 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Day Kimball Hospital | Putnam, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Day Kimball Medical Group Inc | 1557514411 | 68 |
| Entity Name | Day Kimball Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376813972 PECOS PAC ID: 1557514411 Enrollment ID: O20130102000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Lorenz Koleszar, RN CRNP 320 Pomfret Street, Csb 2, Putnam, CT 06260-1836 Ph: (860) 928-6541 | Stanley Lorenz Koleszar, RN CRNP 7 Kennedy Dr, Putnam, CT 06260-1939 Ph: (860) 928-7704 |
Sara Cathleen Nickle, DNP, FNP-C, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Pomfret St, Putnam, CT 06260 Phone: 860-928-2736 | |
Mrs. Jeanne Bedard, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 346 Pomfret St, Putnam, CT 06260 Phone: 860-928-0815 Fax: 860-928-4514 | |
Kimberly J Lane, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 Fax: 860-963-6393 | |
Marissa Lahaie, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Pomfret St, Putnam, CT 06260 Phone: 860-928-2736 | |
Mrs. Kerri Lynn Sauer, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2133 | |
Ralph Frank Hirschfeld, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Pomfret St, Putnam, CT 06260 Phone: 860-963-7917 Fax: 860-963-0015 | |
Annette Jakubisin-konicki, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-963-6390 Fax: 860-963-6343 |