| Trina Patenaude Martin, APRN | |
|
17 Salem Hollow Ln, Salem, CT 06420-4046 | |
| (518) 598-5220 | |
| (866) 383-6746 |
| Full Name | Trina Patenaude Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 17 Salem Hollow Ln, Salem, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942665443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 6394 (Connecticut) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 6394 (Connecticut) | Primary |
| Entity Name | Practitioner Support Services Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114115706 PECOS PAC ID: 3375596984 Enrollment ID: O20050223000656 |
| Entity Name | Ruby Psychiatric Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295564425 PECOS PAC ID: 2860924123 Enrollment ID: O20241011002753 |
| Mailing Address | Practice Location Address |
|---|---|
| Trina Patenaude Martin, APRN 225 Boston Post Rd Unit 38, East Lyme, CT 06333-7002 Ph: (860) 494-5884 | Trina Patenaude Martin, APRN 17 Salem Hollow Ln, Salem, CT 06420-4046 Ph: (518) 598-5220 |
Karen S Williams, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Witch Meadow Rd, Salem, CT 06420 Phone: 860-536-6442 Fax: 860-536-6442 | |
Kaitlin Devon Stewart, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 688 Old Colchester Rd Apt 14, Salem, CT 06420 Phone: 860-859-7884 |