| Tracie Larue, | |
|
265 Ellington Rd, East Hartford, CT 06108-1176 | |
| (860) 569-8800 | |
| (860) 291-2788 |
| Full Name | Tracie Larue |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 265 Ellington Rd, East Hartford, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477695849 | NPI | - | NPPES |
| 1477695849 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | E57063 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1329 |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Larue, 265 Ellington Rd, East Hartford, CT 06108-1176 Ph: (860) 569-8800 | Tracie Larue, 265 Ellington Rd, East Hartford, CT 06108-1176 Ph: (860) 569-8800 |
Ms. Kristina Maria Deconti, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 893 Main St, East Hartford, CT 06108 Phone: 860-528-4124 | |
Diane Sanchez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 893 Main St, Suite 202, East Hartford, CT 06108 Phone: 860-528-4124 Fax: 860-282-1213 | |
Jazmin Johnson, MSN-ED, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Tolland St, East Hartford, CT 06108 Phone: 203-679-9274 Fax: 860-374-2249 | |
Mileidy Perez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 724 Brewer St, East Hartford, CT 06118 Phone: 860-281-6717 | |
Luz Esther Valentin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 | |
Theresa Antwi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1331 Burnside Ave Apt A4, East Hartford, CT 06108 Phone: 240-408-0736 | |
Ms. Nancy Concepcion, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 Fax: 860-290-4142 |