Allison L Dussault (NPI# 1932515459, PAC ID# 5597983023) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932515459 |
| PAC ID by PECOS | 5597983023 |
| Professional Enrollment ID | I20140826000555 |
| Full Name | Allison L Dussault |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
874 Howard Ave New Haven CT 06519-1106 |
| Phone Number | 2036888200 |
| Gender | F |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 925 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1450 Chapel St, New Haven, CT 06511-4405 | 2037893151 | NORTHEAST MEDICAL GROUP INC |
| 874 Howard Ave, New Haven, CT 06519-1106 | 2036888200 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
874 HOWARD AVE |
| City | NEW HAVEN |
| State | CT |
| Zip | 06519-1106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Mecca | Geriatric Psychiatry | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Alessandra M Capobianco | Geriatric Medicine | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Jennifer Andreozzi Ouellet | Geriatric Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| James Lai | Internal Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Christopher H. Vandyck | Psychiatry | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Gregory Ouellet | Geriatric Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Michelle A Cox | Nurse Practitioner | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Thao T Nguyen | Nurse Practitioner | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Brienne Miner | Geriatric Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Gerard J Kerins | Geriatric Medicine | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A. Wiznia | Ophthalmology | 850 Howard Ave, New Haven, CT 06519-1106 | |
| Shannon P Kukulka | Nurse Practitioner | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Vinod H Srihari | Psychiatry | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Laurel M Edwards | Psychologist, Clinical | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Francis J Coppola Iii | Clinical Social Worker | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Manuel Paris | Psychologist, Clinical | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Carolyn Okeefe | Clinical Social Worker | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Walter Mathis | Psychiatry | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Jeanne Mignon Leblanc | Clinical Social Worker | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Cenk Tek | Psychiatry | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Find all physicians in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW HAVEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Allison L Dussault.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.