Jennifer Roch Avedisian, | |
350 Liberty St Ste 102, Pawcatuck, CT 06379-1354 | |
(860) 599-9961 | |
(860) 972-7040 |
Full Name | Jennifer Roch Avedisian |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 350 Liberty St Ste 102, Pawcatuck, Connecticut |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245478999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN00993 (Rhode Island) | Secondary |
363LF0000X | Nurse Practitioner - Family | 12089 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Westerly Hospital | Westerly, RI | Hospital |
William W Backus Hospital | Norwich, CT | Hospital |
Lawrence & Memorial Hospital | New london, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartford Healthcare Medical Group Inc | 1153573902 | 220 |
Entity Name | Hartford Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Roch Avedisian, 3461 S County Trl Ste 301, East Greenwich, RI 02818-1463 Ph: (401) 471-6760 | Jennifer Roch Avedisian, 350 Liberty St Ste 102, Pawcatuck, CT 06379-1354 Ph: (860) 599-9961 |
Karyn Bessette, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 Lathrop Ave, Pawcatuck, CT 06379 Phone: 860-912-8611 | |
Paul Niedbala, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 91 Voluntown Rd, Pawcatuck, CT 06379 Phone: 860-599-5477 | |
Janine Brooks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47 Elmridge Rd, Pawcatuck, CT 06379 Phone: 617-331-2014 | |
Catherine Krenicky, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 High Ridge Dr, Pawcatuck, CT 06379 Phone: 860-599-5654 Fax: 860-599-6004 | |
Kristen Fernandez, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 S Broad St, Pawcatuck, CT 06379 Phone: 860-860-5728 | |
Mrs. Vera Marie Borkowski, MS, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 91 Voluntown Rd, Pawcatuck, CT 06379 Phone: 860-599-5477 |