Jacquelyne Phanavong, in New Britain, CT - Medicare Physician Assistant

Jacquelyne Phanavong, is a medicare enrolled "Physician Assistant" in New Britain, Connecticut. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and her current practice location is 100 Grand St, New Britain, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 224-5675.

Jacquelyne Phanavong is licensed to practice in Connecticut (license number 02813) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730439597.

Contact Information

	Jacquelyne Phanavong,
	100 Grand St, New Britain, CT 06052-2016
	(860) 224-5675
	(860) 224-5774

Map and Direction

Provider's Profile

Full Name	Jacquelyne Phanavong
Gender	Female
Speciality	Physician Assistant
Experience	13 Years
Location	100 Grand St, New Britain, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacquelyne Phanavong graduated from nursing school in 2012

NPI Data:

NPI Number: 1730439597
Provider Enumeration Date: 09/19/2012
Last Update Date: 02/15/2017

Medicare PECOS Information:

PECOS PAC ID: 3577713015
Enrollment ID: I20121018000659

Medical Identifiers

Medical identifiers for Jacquelyne Phanavong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730439597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	02813 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hartford Hospital	Hartford, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Medical Group Specialists Pllc	3173866241	1180

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyne Phanavong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacquelyne Phanavong, 100 Grand St, New Britain, CT 06052-2016 Ph: (860) 224-5675	Jacquelyne Phanavong, 100 Grand St, New Britain, CT 06052-2016 Ph: (860) 224-5675

Reviews and Comments

Physician Assistant Nurses in New Britain, CT

John Bean, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2150 Corbin Ave, New Britain, CT 06053 Phone: 860-223-2761
Ms. Kortney Rose Ribbeck, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011
Sara Taylor Stranieri, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011
Mr. Steven Georgio Robert Connell, P.A Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Grand Street, New Britain, CT 06050 Phone: 860-224-5513
Alexandra Noelle Deangelis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Lake St, New Britain, CT 06052 Phone: 203-767-3758
Victoria Maria Drumski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011
Nicole-christin Dujon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011

Jacquelyne Phanavong, - Medicare Physician Assistant in New Britain, CT