Jacqueline Braunworth, PA-C - Medicare Physician Assistant in Derby, CT

  1. Home
  2. Physician Assistant
  3. CT
  4. Derby
Jacqueline Braunworth, PA-C is a medicare enrolled "Physician Assistant - Medical" in Derby, Connecticut. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hartford Healthcare Urgent Care Centers Llc, North Shore Lij Urgent Care Pc, North Shore Lij Urgent Care Pc and her current practice location is 68 Division St, Derby, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 732-6802.

Jacqueline Braunworth is licensed to practice in Connecticut (license number 003273) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649665936.

Contact Information

Jacqueline Braunworth, PA-C
68 Division St,
Derby, CT 06418-1447
(203) 732-6802
(203) 732-6792

Map and Direction




Provider's Profile

Full NameJacqueline Braunworth
GenderFemale
SpecialityPhysician Assistant
Experience15 Years
Location68 Division St, Derby, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Braunworth graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1649665936
  • Provider Enumeration Date: 04/02/2015
  • Last Update Date: 10/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274831425
  • Enrollment ID: I20160421000436

Medical Identifiers

Medical identifiers for Jacqueline Braunworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649665936NPI-NPPES
1649665936MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 003273 (Connecticut)Secondary
363AM0700XPhysician Assistant - Medical 003273 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Urgent Care Centers Llc7618242777201
North Shore Lij Urgent Care Pc6002131778389
North Shore Lij Urgent Care Pc6002131778389

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Braunworth allows following entities to bill medicare on her behalf.
Entity NameGriffin Faculty Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598755605
PECOS PAC ID: 7618871997
Enrollment ID: O20031120000158
Entity NameHartford Healthcare Urgent Care Centers LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093239683
PECOS PAC ID: 7618242777
Enrollment ID: O20170929001464
Entity NameNorth Shore Lij Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679970891
PECOS PAC ID: 6002131778
Enrollment ID: O20240402003208

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Braunworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Braunworth, PA-C
68 Division St,
Derby, CT 06418-1447

Ph: (203) 732-6802		Jacqueline Braunworth, PA-C
68 Division St,
Derby, CT 06418-1447

Ph: (203) 732-6802

Reviews and Comments


Physician Assistant Nurses in Derby, CT

Daniel Underhill,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    Fax: 203-732-1332
Ryan Edward Weiss, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Olivia Thomas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7222    
Nikolett Kocsis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 78 Pershing Dr, Derby, CT 06418
Phone: 035-165-3072    
Alexis Cardinali, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Astrid B Garza Posadas, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 435 New Haven Ave Ste 2, Derby, CT 06418
Phone: 203-734-1990    
William Henry Ruml, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.