| Feel Well Health Center Of Southington, P.c. | |
|
710 Main St Bldg 4 Plantsville CT 06479-1567 | |
| (860) 378-2891 | |
| (860) 378-2894 |
| Full Name | Feel Well Health Center Of Southington, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 710 Main St Bldg 4, Plantsville, Connecticut |
| Authorized Official Name and Position | Kevin P Greene (PRESIDENT) |
| Authorized Official Contact | 8603782891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Feel Well Health Center Of Southington, P.c. 710 Main St Bldg 4 Plantsville CT 06479-1567 Ph: (860) 378-2891 | Feel Well Health Center Of Southington, P.c. 710 Main St Bldg 4 Plantsville CT 06479-1567 Ph: (860) 378-2891 |
| NPI Number | 1548305584 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 02/28/2017 |
| Medicare PECOS PAC ID | 8527951870 |
|---|---|
| Medicare Enrollment ID | O20040203000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548305584 | NPI | - | NPPES |
| 004245082 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Kary A Krochko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295904225 PECOS PAC ID: 2163483298 Enrollment ID: I20041022000220 |
| Provider Name | Jeffrey Thompsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598705832 PECOS PAC ID: 3173578515 Enrollment ID: I20050317000864 |
| Provider Name | Kevin P Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164498473 PECOS PAC ID: 0143113498 Enrollment ID: I20110322000234 |
| Provider Name | Nicole M Cronan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316285992 PECOS PAC ID: 5597901074 Enrollment ID: I20130430000006 |
| Provider Name | Laura L Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306496005 PECOS PAC ID: 9032441464 Enrollment ID: I20191104002287 |
| Provider Name | Kristina Benoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346899960 PECOS PAC ID: 8426485186 Enrollment ID: I20200219001800 |
| Provider Name | Dwight John Dimartino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386340859 PECOS PAC ID: 2264805647 Enrollment ID: I20230306001869 |
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