| Pillar Health Pc | |
|
55 Post Rd W Fl 2 Westport CT 06880-4235 | |
| (203) 895-2355 | |
| Not Available |
| Full Name | Pillar Health Pc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 55 Post Rd W Fl 2, Westport, Connecticut |
| Authorized Official Name and Position | Jody Gerard (PRESIDENT) |
| Authorized Official Contact | 2037223900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pillar Health Pc 55 Post Rd W Fl 2 Westport CT 06880-4235 Ph: (203) 895-2355 | Pillar Health Pc 55 Post Rd W Fl 2 Westport CT 06880-4235 Ph: (203) 895-2355 |
| NPI Number | 1073059481 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 9739509571 |
|---|---|
| Medicare Enrollment ID | O20201018000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073059481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 048064 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Jody Gerard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144229006 PECOS PAC ID: 3072400522 Enrollment ID: I20091022000470 |
| Provider Name | David Hendricks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952420390 PECOS PAC ID: 9436274107 Enrollment ID: I20100917000854 |
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