Jessica Scheel Connett (NPI# 1053654053, PAC ID# 0345530291) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1053654053 |
| PAC ID by PECOS | 0345530291 |
| Professional Enrollment ID | I20190628001216 |
| Full Name | Jessica Scheel Connett |
| Organization Legal Name | MYSTIC VALLEY DERMATOLOGY ASSOC., P.C. |
| Address |
92 High St T21 Medford MA 02155-3840 |
| Phone Number | 7814386350 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8022083344 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220105 | WINCHESTER HOSPITAL |
| 220070 | HALLMARK HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 92 High St, T21, Medford, MA 02155-3840 | 7814386350 | MYSTIC VALLEY DERMATOLOGY ASSOC., P.C. |
| 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3658 | 7814386350 | MYSTIC VALLEY DERMATOLOGY ASSOC., P.C. |
| Organization Legal Name | MYSTIC VALLEY DERMATOLOGY ASSOC., P.C. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald J Grande | Dermatology | Mystic Valley Dermatology Assoc., P.C. | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3658 |
| Oluwatobi Ogbechie-godec | Dermatology | Mystic Valley Dermatology Assoc., P.C. | 92 High St, T21, Medford, MA 02155-3840 |
| Zoe D Stitt | Dermatology | Mystic Valley Dermatology Assoc., P.C. | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3658 |
| Elizabeth A Mcnichol | Nurse Practitioner | Mystic Valley Dermatology Assoc., P.C. | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3658 |
| Kate B Obrien | Nurse Practitioner | Mystic Valley Dermatology Assoc., P.C. | 92 High St, T21, Medford, MA 02155-3840 |
| Linda V Pham | Nurse Practitioner | Mystic Valley Dermatology Assoc., P.C. | 92 High St, T21, Medford, MA 02155-3840 |
| Lindsay M Demsey | Physician Assistant | Mystic Valley Dermatology Assoc., P.C. | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3658 |
| Street Address |
92 HIGH ST T21 |
| City | MEDFORD |
| State | MA |
| Zip | 02155-3840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Thompson | Clinical Social Worker | 92 High St, Winsted, CT 06098-1527 | |
| Alissa S Kuznick | Clinical Social Worker | 92 High St, Dh7, Medford, MA 02155-3838 | |
| Dan F Pollets | Psychologist, Clinical | 92 High St, Suite 31, Medford, MA 02155-3850 | |
| Oluwatobi Ogbechie-godec | Dermatology | Mystic Valley Dermatology Assoc., P.C. | 92 High St, T21, Medford, MA 02155-3840 |
| Hope Ann Payson | Clinical Social Worker | 92 High St, Winsted, CT 06098-1527 | |
| Cindy A Bridger | Psychologist, Clinical | 92 High St, Suite 7, Medford, MA 02155-3850 | |
| Andrew M Aldridge | Psychiatry | 92 High St, Medford, MA 02155-3850 | |
| Martin S Cohen | Psychologist, Clinical | Psychological Associates | 92 High St, Suite 7, Medford, MA 02155-3850 |
| Erin Macmullen | Qualified Audiologist | Diagnostic Hearing Inc | 92 High St, Suite 23, Medford, MA 02155-3850 |
| Elizabeth Keating Cohen | Psychologist, Clinical | Psychological Associates | 92 High St, Suite 7, Medford, MA 02155-3850 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam T Dougherty | Ophthalmology | 77 Playstead Rd, Medford, MA 02155-1451 | |
| Elizabeth Marie Gingerich X | Psychiatry | 219 Ashcroft Rd, Medford, MA 02155-1602 | |
| Ellen D Klee | Nurse Practitioner | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Ann-marie E Sullivan | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 170 Governors Ave, Medford, MA 02155-1643 |
| Jessica L Johanson | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 170 Governors Ave, Medford, MA 02155-1643 |
| Andrea M Messina | Nurse Practitioner | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Patricia A Sereno | Family Medicine | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Josephine M Gaviola | Nurse Practitioner | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Paula M Fang | Internal Medicine | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Daniel J Carlat | Psychiatry | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Find all physicians in zip 02155 | |||
| City | MEDFORD |
| Zip Code | 02155 |
| Specialty | DERMATOLOGY |
| City + Specialty | MEDFORD + DERMATOLOGY |
Please comment or provide details below to improve the information on Jessica Scheel Connett.
| 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.