| Wendy Mariko Awa, APRN | |
|
2800 Main St, Bridgeport, CT 06606-4201 | |
| (475) 210-6177 | |
| (475) 210-6146 |
| Full Name | Wendy Mariko Awa |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 2800 Main St, Bridgeport, 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 |
|---|---|---|---|
| 1770090789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 106481 (Connecticut) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 7420 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Vincent's Medical Center | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1329 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| 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 |
|---|---|
| Wendy Mariko Awa, APRN 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 Ph: (475) 210-6177 | Wendy Mariko Awa, APRN 2800 Main St, Bridgeport, CT 06606-4201 Ph: (475) 210-6177 |
Caroline Clara Regan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4920 Main St Fl 2, Bridgeport, CT 06606 Phone: 860-243-4899 | |
Ryan Keenan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Caroline Mead Farrell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 908-489-4847 | |
Miss Sandra Shipkowitz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490 | |
Patricia Anne Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-368-3000 | |
Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584 | |
Olivia Frances Baril, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 968 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-330-6000 |