Miss Jacquelyn Longacre, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Griswold, Connecticut. She went to George Washington University School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bassett Healthcare and her current practice location is
115 Cook Hill Rd, Griswold, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 861-0279.
Miss Jacquelyn Longacre is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730749359.
Provider's Profile
| Full Name | Miss Jacquelyn Longacre |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 115 Cook Hill Rd, Griswold, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Jacquelyn Longacre attended and graduated from George Washington University School Of Medicine in 2019
NPI Data:
- NPI Number: 1730749359
- Provider Enumeration Date: 06/17/2019
- Last Update Date: 06/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264760370
- Enrollment ID: I20211203001259
Medical Identifiers
Medical identifiers for Miss Jacquelyn Longacre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730749359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bassett Healthcare | 3779488325 | 641 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jacquelyn Longacre is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Miss Jacquelyn Longacre, PHYSICIAN ASSISTANT
115 Cook Hill Rd,
Griswold, CT 06351-3610
Ph: () - | Miss Jacquelyn Longacre, PHYSICIAN ASSISTANT
115 Cook Hill Rd,
Griswold, CT 06351-3610
Ph: (860) 861-0279 |
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