Jacquelyne Phanavong, - Medicare Physician Assistant in New Britain, CT

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Jacquelyne Phanavong, is a medicare enrolled "Physician Assistant" in New Britain, Connecticut. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and her current practice location is 100 Grand St, New Britain, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 224-5675.

Jacquelyne Phanavong is licensed to practice in Connecticut (license number 02813) 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 1730439597.

Contact Information

Jacquelyne Phanavong,
100 Grand St,
New Britain, CT 06052-2016
(860) 224-5675
(860) 224-5774

Map and Direction




Provider's Profile

Full NameJacquelyne Phanavong
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location100 Grand St, New Britain, 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:
  • Jacquelyne Phanavong graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1730439597
  • Provider Enumeration Date: 09/19/2012
  • Last Update Date: 02/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3577713015
  • Enrollment ID: I20121018000659

Medical Identifiers

Medical identifiers for Jacquelyne Phanavong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730439597NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 02813 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hartford HospitalHartford, CTHospital
Hospital Of Central Connecticut, TheNew britain, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Specialists Pllc31738662411555

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. Jacquelyne Phanavong allows following entities to bill medicare on her behalf.
Entity NameProhealth Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602
Entity NameThe Hospital of Central Connecticut at New Britain General and Bradley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063461481
PECOS PAC ID: 6507776564
Enrollment ID: O20040115000497
Entity NameHartford Healthcare Medical Group Specialists PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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. Jacquelyne Phanavong 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
Jacquelyne Phanavong,
100 Grand St,
New Britain, CT 06052-2016

Ph: (860) 224-5675		Jacquelyne Phanavong,
100 Grand St,
New Britain, CT 06052-2016

Ph: (860) 224-5675

Reviews and Comments


Physician Assistant Nurses in New Britain, CT

John Bean, P.A.
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Phone: 860-223-2761    
Ms. Kortney Rose Ribbeck, PA-C
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Phone: 860-224-5011    
Alexandra Deangelis, PA-C
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Amy Beth Ziegelmeier, PA-C
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Practice Location: 100 Grand St, New Britain, CT 06052
Phone: 860-224-5661    
Victoria Drumski Swider, PA-C
Physician Assistant
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Practice Location: 100 Grand St, New Britain, CT 06052
Phone: 860-224-5011    
Nicole-christin Dujon, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 Grand St, New Britain, CT 06052
Phone: 860-224-5011    
Maria Allen, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 100 Grand St, New Britain, CT 06052
Phone: 860-224-5011    

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.