| Jennie Horstmann, | |
|
1401 Kings Hwy, Fairfield, CT 06824-5375 | |
| (224) 848-1670 | |
| Not Available |
| Full Name | Jennie Horstmann |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1401 Kings Hwy, Fairfield, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093457764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roanoke Valley Healthcare Partners Llc | 0143490326 | 53 |
| Entity Name | Roanoke Valley Healthcare Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619274446 PECOS PAC ID: 0143490326 Enrollment ID: O20110825000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Horstmann, 1401 Kings Hwy, Fairfield, CT 06824-5375 Ph: Not Available | Jennie Horstmann, 1401 Kings Hwy, Fairfield, CT 06824-5375 Ph: (224) 848-1670 |
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