| Jennifer Whittaker, APRN | |
|
85 Stage Harbor Rd, Marlborough, CT 06447-1113 | |
| (203) 497-3861 | |
| Not Available |
| Full Name | Jennifer Whittaker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 85 Stage Harbor Rd, Marlborough, 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 |
|---|---|---|---|
| 1578237400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 12.009834 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Griffin Hospital | Derby, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Health Pc | 0941562664 | 50 |
| Entity Name | Impact Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Whittaker, APRN 87 Greenwood St, East Hartford, CT 06118-2816 Ph: (860) 372-6474 | Jennifer Whittaker, APRN 85 Stage Harbor Rd, Marlborough, CT 06447-1113 Ph: (203) 497-3861 |
Jennifer Rey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447 Phone: 860-295-8217 Fax: 860-295-9734 | |
Ms. Elysa Maria Doherty-fisher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Thomassian Dr, Marlborough, CT 06447 Phone: 860-508-7789 | |
Stephen Kivlin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447 Phone: 860-295-8217 |