Cam Aprn Practice LLC
Organization Active NPI Primary Care Clinic/Center · Wolcott, CT
NPI 1992489561 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1992489561
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- CAM APRN PRACTICE LLC
- Practice address
- 246 Wolcott Rd Second Floor
Wolcott, CT 06716-1000 - Phone
- (203) 879-5504
- Fax
- (203) 706-4233
- NPI assigned
- Jun 13, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Linda Dalessio, EDD APRN BC
- Title
- Owner
- Phone
- (230) 879-5504
Practitioners 1
-
Linda Dalessio, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230915001821 | CT | Part B Supplier - Clinic/Group Practice | 4486018900 |
Receives reassigned benefits from 1 practitioner Practice locations: Wolcott, CT |
National Provider Directory
Locations
246 Wolcott Rd
Ste 2
Wolcott, CT 06716
Phone (203) 578-6748
246 Wolcott Rd
Wolcott, CT 06716
Phone (203) 525-5774
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
246 Wolcott Rd Second Floor
Wolcott, CT 06716-1000
Mailing address
246 Wolcott Rd Ste 2
Wolcott, CT 06716-2641
Phone (203) 879-5504
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992489561 | Other | ORGANIZATIONAL NPI | |
| 1518080175 | Other | NPI |
Other names
- CAM APRN PRACTICE LLC
Other providers in Wolcott, CT
- Kelsey S Brennan
- Jonathan Brito
- Karen L Brown
- Alessandra Buonopane
- Nicole Butkus
- Donna Carangelo
- Melinda S. Carter
- Victor Castillo
- CDM Counseling & Consultation Services, LLC
- Serena Sue Charbonneau
All providers in Wolcott, CT · Primary Care Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.