| Teresa Williams, | |
|
55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | |
| (800) 370-3651 | |
| (877) 515-7147 |
| Full Name | Teresa Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 55 Hatchetts Hill Rd, Old Lyme, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295281715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | SP016311 (Pennsylvania) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ01456900 (New Jersey) | Primary |
| Entity Name | Ninth Street Internal Medicine Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598719627 PECOS PAC ID: 5799763702 Enrollment ID: O20040707001329 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Williams, 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 Ph: () - | Teresa Williams, 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 Ph: (800) 370-3651 |
Karen G Donovan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 877-515-7147 | |
Amy Beth Weldon-beardslee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300 Fax: 860-865-2388 | |
Gabriell Budoff, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 877-515-7147 | |
Ms. Linda K Stanley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Neck Rd, Old Lyme, CT 06371 Phone: 860-227-8775 | |
Kathryn Ann Fallon, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Ascot Ln, Old Lyme, CT 06371 Phone: 860-434-1008 | |
Kristina Flores, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 |