| Jennifer Roch Avedisian, | |
|
350 Liberty St Ste 102, Pawcatuck, CT 06379-1354 | |
| (860) 599-9961 | |
| (860) 972-7040 |
| Full Name | Jennifer Roch Avedisian |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 350 Liberty St Ste 102, Pawcatuck, 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 |
|---|---|---|---|
| 1245478999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN00993 (Rhode Island) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 12089 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Westerly Hospital | Westerly, RI | Hospital |
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Inc | 1153573902 | 223 |
| Ptsma Inc | 7911800180 | 101 |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Roch Avedisian, 3461 S County Trl Ste 301, East Greenwich, RI 02818-1463 Ph: (401) 471-6760 | Jennifer Roch Avedisian, 350 Liberty St Ste 102, Pawcatuck, CT 06379-1354 Ph: (860) 599-9961 |
Karyn Bessette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Lathrop Ave, Pawcatuck, CT 06379 Phone: 860-912-8611 | |
Paul Niedbala, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 91 Voluntown Rd, Pawcatuck, CT 06379 Phone: 860-599-5477 | |
Janine Brooks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47 Elmridge Rd, Pawcatuck, CT 06379 Phone: 617-331-2014 | |
Catherine Krenicky, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 High Ridge Dr, Pawcatuck, CT 06379 Phone: 860-599-5654 Fax: 860-599-6004 | |
Mrs. Angela G Moore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 91 Voluntown Rd, Nemg Yale New Haven Hospital, Pawcatuck, CT 06379 Phone: 860-995-4778 Fax: 860-865-2375 | |
Kristen Fernandez, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 S Broad St, Pawcatuck, CT 06379 Phone: 860-860-5728 |