| J H Dee Msn Fnp LLC | |
|
150 Episcopal Rd Berlin CT 06037-1525 | |
| (860) 798-2614 | |
| (860) 467-4612 |
| Full Name | J H Dee Msn Fnp LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Episcopal Rd, Berlin, Connecticut |
| Authorized Official Name and Position | Juanita Dee (OWNER) |
| Authorized Official Contact | 8607982614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J H Dee Msn Fnp LLC 150 Episcopal Rd Berlin CT 06037-1525 Ph: (860) 798-2614 | J H Dee Msn Fnp LLC 150 Episcopal Rd Berlin CT 06037-1525 Ph: (860) 798-2614 |
| NPI Number | 1740876556 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 09/09/2025 |
| Certification Date | 09/09/2025 |
| Medicare PECOS PAC ID | 0345659223 |
|---|---|
| Medicare Enrollment ID | O20240423001537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740876556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Secondary |
| Provider Name | Juanita H Dee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609344480 PECOS PAC ID: 0143567222 Enrollment ID: I20190128002096 |
Suhradam Medical Practice, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Toll Gate Rd, Berlin, CT 06037 Phone: 860-438-6004 Fax: 860-740-7103 |