| Jennifer L Phung, APRN | |
|
800 Howard Ave, New Haven, CT 06519-1369 | |
| (203) 785-7191 | |
| (203) 785-2917 |
| Full Name | Jennifer L Phung |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 800 Howard Ave, New Haven, 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 |
|---|---|---|---|
| 1316103542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 061785 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 003868 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Waterbury Hospital | Waterbury, CT | Hospital |
| Griffin Hospital | Derby, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Naugatuck Valley Cardiovascular Associates | 0244339059 | 4 |
| Yale University | 9436061736 | 2389 |
| 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 | Naugatuck Valley Cardiovascular Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881721900 PECOS PAC ID: 0244339059 Enrollment ID: O20070620000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Phung, APRN 800 Howard Ave, New Haven, CT 06519-1369 Ph: (203) 785-7191 | Jennifer L Phung, APRN 800 Howard Ave, New Haven, CT 06519-1369 Ph: (203) 785-7191 |
Audrey P Senior, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-5860 Fax: 203-688-7533 | |
Ashley Antonucci, DNP- FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-688-8800 | |
Bailey Daum, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Trumbull St, New Haven, CT 06510 Phone: 646-270-4857 | |
Kentrone Vines, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Mrs. Lisa Jane Warren, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-7952 | |
Mrs. Rocca L Perruccio, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 428 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3000 Fax: 203-503-3224 | |
Alexa Blood, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Howard Ave, New Haven, CT 06519 Phone: 203-785-2565 |