Jennie Nally (NPI# 1548454622, PAC ID# 0547357311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1548454622 |
| PAC ID by PECOS | 0547357311 |
| Professional Enrollment ID | I20071026000407 |
| Full Name | Jennie Nally |
| Organization Legal Name | THE CONNECTICUT DERMATOLOGY GROUP PC |
| Address |
1250 Summer St Suite 201 Stamford CT 06905-5318 |
| Phone Number | 2039751112 |
| Gender | F |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9032147509 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070006 | STAMFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1250 Summer St, Suite 201, Stamford, CT 06905-5318 | 2039751112 | THE CONNECTICUT DERMATOLOGY GROUP PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 34% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% |
| Organization Legal Name | THE CONNECTICUT DERMATOLOGY GROUP PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina S Chao | Physician Assistant | The Connecticut Dermatology Group PC | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 |
| Frank J Pinto | Dermatology | The Connecticut Dermatology Group PC | 600 W Putnam Ave, Greenwich, CT 06830-6080 |
| Elizabeth Gaines-cardone | Dermatology | The Connecticut Dermatology Group PC | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 |
| Danielle Munday | Physician Assistant | The Connecticut Dermatology Group PC | 600 W Putnam Ave, Greenwich, CT 06830-6080 |
| Hanna Kim | Dermatology | The Connecticut Dermatology Group PC | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 |
| John Jasinski | Physician Assistant | The Connecticut Dermatology Group PC | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 |
| Steven A Kolenik | Dermatology | The Connecticut Dermatology Group PC | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 |
| Lisa Sheehan | Physician Assistant | The Connecticut Dermatology Group PC | 600 W Putnam Ave, Greenwich, CT 06830-6080 |
| Michael S Thibault | Physician Assistant | The Connecticut Dermatology Group PC | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 |
| Erin L Myers Albaridi | Physician Assistant | The Connecticut Dermatology Group PC | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 |
| Street Address |
1250 SUMMER ST SUITE 201 |
| City | STAMFORD |
| State | CT |
| Zip | 06905-5318 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth A Moore | Internal Medicine | Northeast Medical Group Inc | 260 Long Ridge Rd, Stamford, CT 06905 |
| Scott R Bender | Chiropractic | 1200 High Ridge Rd, Suite 3, Stamford, CT 06905-1202 | |
| Karen Poggi | Qualified Speech Language Pathologist | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Shiying Guo | Occupational Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Eri Kubota | Psychologist, Clinical | Spectrum Behavioral PC | 30 Buxton Farm Rd, Suite 140, Stamford, CT 06905-1206 |
| Caryn Mcallister | Physical Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Randall E Weeks | Psychologist, Clinical | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 | |
| Erin L Fiakos | Physical Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Stephanie Chartier | Occupational Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Tajhma D Burroughs | Occupational Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Find all physicians in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| Specialty | DERMATOLOGY |
| City + Specialty | STAMFORD + DERMATOLOGY |
Please comment or provide details below to improve the information on Jennie Nally.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.