| Jason M Nall, | |
|
263 Farmington Avenue, Farmington, CT 06030 | |
| (860) 679-3343 | |
| (860) 679-4256 |
| Full Name | Jason M Nall |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 263 Farmington Avenue, Farmington, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841607363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3155 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John Dempsey Hospital Of The University Of Connect | Farmington, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Connecticut Health Center | 3678472016 | 624 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Entity Name | Trinity Health of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | University of Connecticut Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason M Nall, 263 Farmington Avenue, Farmington, CT 06030-6235 Ph: (860) 679-3343 | Jason M Nall, 263 Farmington Avenue, Farmington, CT 06030 Ph: (860) 679-3343 |
Mr. Jason S. Pinho, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave Ste 110, Farmington, CT 06032 Phone: 860-549-3210 |
Lisa Petricca, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 |
Alexandra Shaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6649 |
Ed Haggag, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Birdseye Rd Ste 260, Farmington, CT 06032 Phone: 203-518-8414 |
Mr. Paul Christopher Polzella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave, Suite 210, Farmington, CT 06032 Phone: 860-548-7338 Fax: 860-674-4232 |
Shannon Carey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 |
Bridget Ann Walsh, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2000 |