Terese Fagan (NPI# 1023568961, PAC ID# 3375827538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1023568961 |
| PAC ID by PECOS | 3375827538 |
| Professional Enrollment ID | I20170307001531 |
| Full Name | Terese Fagan |
| Organization Legal Name | HARVEST HEALTHCARE LLC |
| Address |
21 Waterville Rd Avon CT 06001-2097 |
| Phone Number | 8602840182 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9931276979 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21 Waterville Rd, Avon, CT 06001-2097 | 8602840182 | HARVEST HEALTHCARE LLC |
| Organization Legal Name | HARVEST HEALTHCARE LLC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Rindone | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Marisa Brown | Psychologist, Clinical | Harvest Healthcare LLC | 13 Park Lawn Dr, Bethel, CT 06801-1043 |
| Sasha Perry | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Peter A Talbot | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Elizabeth Zahoruiko | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Jean Enderle | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Alexia Cortella | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Ellen Galat | Psychologist, Clinical | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Richard Panetta | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Nick Ramandi | Psychiatry | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Street Address |
21 WATERVILLE RD |
| City | AVON |
| State | CT |
| Zip | 06001-2097 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Rindone | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Sasha Perry | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Peter A Talbot | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Elizabeth Zahoruiko | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Jean Enderle | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Alexia Cortella | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Ellen Galat | Psychologist, Clinical | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Richard Panetta | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Nick Ramandi | Psychiatry | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Moghees Ahmed | Psychiatry | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elyse Manning | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Luis Jaramillo | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Maryanne E Hagar | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Lindsey Diamond | Psychologist, Clinical | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Jessica M Christoff | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Olivia Carter | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Halina Gorecki | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Joseph A Cherepon | Psychologist, Clinical | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Nicole Weld | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Christine M Padilla | Physician Assistant | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Find all physicians in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | AVON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Terese Fagan.
| 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.