| Jeremy David Wells, MD | |
|
2800 Main St, Bridgeport, CT 06606-4201 | |
| (203) 576-6000 | |
| Not Available |
| Full Name | Jeremy David Wells |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2800 Main St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982167342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 77735 (Connecticut) | Primary |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy David Wells, MD 170 Manning Dr # 7025, Chapel Hill, NC 27514-4221 Ph: () - | Jeremy David Wells, MD 2800 Main St, Bridgeport, CT 06606-4201 Ph: (203) 576-6000 |
Dr. Javier Lopez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3897 Fax: 203-384-3950 | |
Raj Kumari Bansal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 | |
Dr. Vanja Kondev, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 340 Capitol Ave, Bridgeport, CT 06606 Phone: 203-367-5589 Fax: 203-330-0838 | |
Dr. Reginald Anthony Hoffler, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1106 North Ave, Bridgeport, CT 06604 Phone: 203-579-6131 Fax: 203-382-8464 | |
Dr. Anthony Louis Labruzza, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 | |
Joy Reyes, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3897 Fax: 203-384-3950 | |
Dr. David Arthur Carlson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 |