| Timothy Z Millican, APRN, CRNA | |
|
99 E River Dr, 5th Floor C/o Ipms, East Hartford, CT 06108-3288 | |
| (860) 282-0833 | |
| (860) 282-0170 |
| Full Name | Timothy Z Millican |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 99 E River Dr, East Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598724197 | NPI | - | NPPES |
| 004221834 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 002573 (Connecticut) | Primary |
| Entity Name | Integrated Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163 |
| Entity Name | Woodland Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20040420000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Z Millican, APRN, CRNA 99 E River Dr, 5th Floor C/o Ipms, East Hartford, CT 06108-3288 Ph: (860) 282-0833 | Timothy Z Millican, APRN, CRNA 99 E River Dr, 5th Floor C/o Ipms, East Hartford, CT 06108-3288 Ph: (860) 282-0833 |
Ellen E Monforte, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Gail B Snyder, APRN, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Vincent G Brunelli, APRN CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 Founders Plz, 300 Co Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Holly D Simms, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 99 East River Drive, 5th Floor, East Hartford, CT 06108 Phone: 860-282-0833 Fax: 860-282-0170 | |
Ms. Heather Ann Portereiko, CRNA, APRN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 99 E River Dr, 5th Floor, East Hartford, CT 06108 Phone: 860-282-4133 Fax: 860-289-0746 | |
Vanassa J Sebastian, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Elizabeth A Anderson, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 |