| Tracy C Wittreich, CNM, MSN | |
|
675 S Main St, Cheshire, CT 06410-3153 | |
| (203) 272-1811 | |
| Not Available |
| Full Name | Tracy C Wittreich |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 675 S Main St, Cheshire, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518964170 | NPI | - | NPPES |
| P2826209 | Other | OXFORD WEALTH PLAN | |
| 000012 | Other | CONNECTICARE | |
| 0Q2742 | Other | HEALTHNET | |
| 400000012CT01 | Other | ANTHEM BLUE CROSS OF CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | LNM 000012 (Connecticut) | Primary |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy C Wittreich, CNM, MSN 675 S Main St, Cheshire, CT 06410-3153 Ph: (203) 250-2125 | Tracy C Wittreich, CNM, MSN 675 S Main St, Cheshire, CT 06410-3153 Ph: (203) 272-1811 |
Cameryn Alexandra Lacey, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-272-1811 Fax: 203-271-3152 | |
Pamela K Townshend, CNM, MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-272-1811 | |
Amanda Lendler, CNM; MSN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-250-2125 Fax: 203-250-2161 | |
Sivan Doron, C.N.M,, M.S.N. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-250-2125 | |
Shangyne D Samuels, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-272-1811 | |
Elisabeth Hyde, CNM, MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-272-1811 |