| Jason Muzzillo, Pllc | |
|
168 E Reynolds Rd Ste 150 Lexington KY 40517-1360 | |
| (859) 305-1430 | |
| Not Available |
| Full Name | Jason Muzzillo, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 168 E Reynolds Rd Ste 150, Lexington, Kentucky |
| Authorized Official Name and Position | Jason Muzzillo (OWNER/EMPLOYEE) |
| Authorized Official Contact | 8593051430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Muzzillo, Pllc 168 E Reynolds Rd Ste 150 Lexington KY 40517-1360 Ph: (859) 322-9222 | Jason Muzzillo, Pllc 168 E Reynolds Rd Ste 150 Lexington KY 40517-1360 Ph: (859) 305-1430 |
| NPI Number | 1336614072 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 10/15/2021 |
| Certification Date | 10/15/2021 |
| Medicare PECOS PAC ID | 3577997964 |
|---|---|
| Medicare Enrollment ID | O20191217002782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336614072 | NPI | - | NPPES |
| 7100614860 | Medicaid | KY | |
| 7100515530 | Medicaid | KY |
| Provider Name | Jennifer Hamill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184192429 PECOS PAC ID: 8426392556 Enrollment ID: I20181130001147 |
| Provider Name | Jason Muzzillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962932756 PECOS PAC ID: 4486088879 Enrollment ID: I20191217002914 |
| Provider Name | Ellen Livengood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104471960 PECOS PAC ID: 2163833153 Enrollment ID: I20201123003296 |
| Provider Name | Andrew Michael Glockner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750788261 PECOS PAC ID: 1355731423 Enrollment ID: I20211203000464 |
| Provider Name | Anna A Schoeneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891475414 PECOS PAC ID: 8325401060 Enrollment ID: I20230829002867 |
| Provider Name | Julie L Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588099782 PECOS PAC ID: 3870034226 Enrollment ID: I20240925002087 |
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