| Dr Jill Waite, PHD | |
|
Po Box 417, Moodus, CT 06469-0417 | |
| (413) 269-5557 | |
| Not Available |
| Full Name | Dr Jill Waite |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | Po Box 417, Moodus, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992130116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8815 (Connecticut) | Primary |
| 101YM0800X | Counselor - Mental Health | 2370 (New Hampshire) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brightside Medical Pc | 6608262464 | 274 |
| Entity Name | Brightside Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230420001140 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jill Waite, PHD Po Box 417, Moodus, CT 06469-0417 Ph: (413) 269-5557 | Dr Jill Waite, PHD Po Box 417, Moodus, CT 06469-0417 Ph: (413) 269-5557 |
Mr. Keith J Murphey, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 133 Sillimanville Rd, Moodus, CT 06469 Phone: 860-301-2126 Fax: 860-552-4029 |
Ms. Elyse Laurie Barker, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 88 Great Hillwood Rd, Moodus, CT 06469 Phone: 860-873-2143 |
Katrina Casey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Falls Bashan Rd, Moodus, CT 06469 Phone: 860-266-2228 |
Brittany Davis Klepac, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Falls Bashan Rd, Moodus, CT 06469 Phone: 860-266-2228 Fax: 860-264-6077 |
Mrs. Maria Cicero Barber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Rae Palmer Rd, Moodus, CT 06469 Phone: 860-883-8649 |