| Mrs Jill Wasserman Gulliford, PA-C | |
|
950 Campbell Ave, West Haven, CT 06516-2770 | |
| (203) 932-5711 | |
| Not Available |
| Full Name | Mrs Jill Wasserman Gulliford |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 950 Campbell Ave, West Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215982624 | NPI | - | NPPES |
| 2V3798 | Other | CT | HEALTH NET |
| 290000773CT01 | Other | CT | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 000773 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | 00773 (Connecticut) | Primary |
| Entity Name | Connecticut Vascular Surgical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801805403 PECOS PAC ID: 9931102654 Enrollment ID: O20060819000003 |
| Entity Name | Neighborhood Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
| Entity Name | Hartford Healthcare Medical Group Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jill Wasserman Gulliford, PA-C 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 Ph: (203) 382-1900 | Mrs Jill Wasserman Gulliford, PA-C 950 Campbell Ave, West Haven, CT 06516-2770 Ph: (203) 932-5711 |
Stephan Anton Bayer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 205 Elm St Apt 5, West Haven, CT 06516 Phone: 719-287-6053 |
Courtney G Moller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 Campbell Ave, Gec240, West Haven, CT 06516 Phone: 203-932-5711 |
Marian Campbell-gethers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Cellini Pl Ste 102, West Haven, CT 06516 Phone: 203-932-6481 Fax: 203-932-4051 |
Mr. Peter Francis Lazzarotti, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 |
Kaitlin Coyle, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 286 Richmond Ave, West Haven, CT 06516 Phone: 203-824-8091 |
Ms. Tzipporah Jael Vannorman, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 Campbell Ave, Unit T3w, West Haven, CT 06516 Phone: 203-932-5711 |
William Hoffman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 Campbell Ave, West Haven, CT 06516 Phone: 203-503-3000 |