Kelsey M Bestall
NORTHEAST MEDICAL GROUP INC


Address: 365 Montauk Ave, New London, CT 06320-4700

Kelsey M Bestall (NPI# 1295213320, PAC ID# 2961747613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1295213320
PAC ID by PECOS 2961747613
Professional Enrollment ID I20181227001211
Full Name Kelsey M Bestall
Organization Legal Name NORTHEAST MEDICAL GROUP INC
Address 365 Montauk Ave
New London
CT 06320-4700
Gender F
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1254233836
Number of Group Practice Members 1014
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070007 LAWRENCE & MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
220 Route 12, Groton, CT 06340-3414 8604466137 URGENT CARE MEDICAL ASSOCIATES, LLC
365 Montauk Ave, New London, CT 06320-4700 NORTHEAST MEDICAL GROUP INC
607 W Main St, Norwich, CT 06360-6056 8608929000 URGENT CARE MEDICAL ASSOCIATES, LLC
900 Main St S, Suite 100, Southbury, CT 06488-4213 2032621911 URGENT CARE MEDICAL ASSOCIATES, LLC
95 Armory Rd, Stratford, CT 06614-1702 2033843388 NORTHEAST MEDICAL GROUP INC

Organization Information

Organization Legal Name NORTHEAST MEDICAL GROUP INC
Physicians 1113

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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

Office Location

Street Address 365 MONTAUK AVE
City NEW LONDON
State CT
Zip 06320-4700

Physicians in the same location

Name Specialty Organization Address
Alexis M Cordiano Emergency Medicine Lawrence and Memorial Hospital, Inc. 365 Montauk Ave, New London, CT 06320-4700
Ann M Bassett Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of New London, PC 365 Montauk Ave, New London, CT 06320-4700
Warren Maurice Perry Emergency Medicine Lawrence and Memorial Hospital, Inc. 365 Montauk Ave, New London, CT 06320-4700
Frank R Dellacono Otolaryngology Ear,nose and Throat Associates of Southeastern Connecticut, P.C. 365 Montauk Ave, New London, CT 06320-4700
Sarah M Vitello Emergency Medicine Lawrence and Memorial Hospital, Inc. 365 Montauk Ave, New London, CT 06320-4700
Frank J Toole Physician Assistant Northeast Medical Group Inc 365 Montauk Ave, New London, CT 06320-4700
Deepika Singh Emergency Medicine Lawrence and Memorial Hospital, Inc. 365 Montauk Ave, New London, CT 06320-4700
Thomas S Long Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of New London, PC 365 Montauk Ave, New London, CT 06320-4700
Louis Mazzarelli Diagnostic Radiology Ocean Radiology Associates PC 365 Montauk Ave, New London, CT 06320-4700
Abbey Elizabeth Rumbold Physician Assistant Northeast Medical Group Inc 365 Montauk Ave, New London, CT 06320-4700
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Physicians in the same zip code

Name Specialty Organization Address
Marileni Brisita Physical Therapy Anb-ptsma Holdings Inc 635 Broad St, New London, CT 06320-2543
Michelle A Gallerani Physical Therapy Anb-ptsma Holdings Inc 635 Broad St, New London, CT 06320-2543
Kathryn Rymsza Physical Therapy Anb-ptsma Holdings Inc 635 Broad St, New London, CT 06320-2543
Rachel Beckmann Physical Therapy Anb-ptsma Holdings Inc 635 Broad St, New London, CT 06320-2543
Jeffrey D Daley Physical Therapy Anb-ptsma Holdings Inc 635 Broad St, New London, CT 06320-2543
Kevin J O'reilly Psychologist, Clinical 400 Bayonet St, Suite 202, New London, CT 06320-2600
Kimberly A Kurey Nurse Practitioner 400 Bayonet St, New London, CT 06320-2600
Diane Joan Schrage Clinical Social Worker 400 Bayonet St, Suite 400, New London, CT 06320-2600
Patricia A Medling Clinical Social Worker 400 Bayonet St, Suite 202, New London, CT 06320-2600
George A Sprecace Allergy/immunology 400 Bayonet St, Ll2, New London, CT 06320-2600
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Competitor

Search similar physicians

City NEW LONDON
Zip Code 06320
Specialty PHYSICIAN ASSISTANT
City + Specialty NEW LONDON + PHYSICIAN ASSISTANT

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Dataset Information

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.

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