Jennie Webb (NPI# 1912495797, PAC ID# 8224372388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912495797 |
| PAC ID by PECOS | 8224372388 |
| Professional Enrollment ID | I20181130002008 |
| Full Name | Jennie Webb |
| Organization Legal Name | DR PHILIP A MONGELLUZZO JR LLC |
| Address |
2247 E Main St Suite 103 Waterbury CT 06705-2604 |
| Phone Number | 2037573486 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6608858600 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070016 | SAINT MARYS HOSPITAL |
| 070005 | WATERBURY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 | 2037573486 | DR PHILIP A MONGELLUZZO JR LLC |
| Organization Legal Name | DR PHILIP A MONGELLUZZO JR LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip A Mongelluzzo Jr. | Internal Medicine | Dr Philip A Mongelluzzo Jr LLC | 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 |
| Mae E Janiga | Physician Assistant | Dr Philip A Mongelluzzo Jr LLC | 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 |
| Sarah F Walsh | Nurse Practitioner | Dr Philip A Mongelluzzo Jr LLC | 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 |
| Street Address |
2247 E MAIN ST SUITE 103 |
| City | WATERBURY |
| State | CT |
| Zip | 06705-2604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip A Mongelluzzo Jr. | Internal Medicine | Dr Philip A Mongelluzzo Jr LLC | 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 |
| Mae E Janiga | Physician Assistant | Dr Philip A Mongelluzzo Jr LLC | 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 |
| Sarah F Walsh | Nurse Practitioner | Dr Philip A Mongelluzzo Jr LLC | 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edmund Caporaso | Internal Medicine | 1567 E Main St, Waterbury, CT 06705-1029 | |
| Domenico Trocchi | Optometry | 481 Wolcott St, Waterbury, CT 06705-1247 | |
| Tamikque Escourse | Nurse Practitioner | Urgent Care Medical Associates, LLC | 920 Wolcott St, Suite 19, Waterbury, CT 06705-1300 |
| Troy A Glaser | Sports Medicine | Urgent Care Medical Associates, LLC | 920 Wolcott St, Suite 19, Waterbury, CT 06705-1300 |
| John J Pulaski | Optometry | 625 Wolcott St, Waterbury, CT 06705-1342 | |
| Virginia F Mckenna | Chiropractic | 1869 E Main St, Waterbury, CT 06705-1819 | |
| Robin F Mccormack | Nurse Practitioner | Franklin Medical Group PC | 1981 E Main St, Waterbury, CT 06705-1822 |
| Diane Kim | Internal Medicine | Franklin Medical Group PC | 1981 E Main St, Waterbury, CT 06705-1822 |
| Sallie A Carrington | Internal Medicine | Franklin Medical Group PC | 1981 E Main St, Waterbury, CT 06705-1822 |
| Seth L Clohosey | Internal Medicine | Franklin Medical Group PC | 1981 E Main St, Waterbury, CT 06705-1822 |
| Find all physicians in zip 06705 | |||
| City | WATERBURY |
| Zip Code | 06705 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WATERBURY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennie Webb.
| 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.