Jennifer T Phan (NPI# 1538443460, PAC ID# 5092982389) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538443460 |
| PAC ID by PECOS | 5092982389 |
| Professional Enrollment ID | I20120127000613 |
| Full Name | Jennifer T Phan |
| Organization Legal Name | MARK H. ABENSOHN, M.D., L.L.C. |
| Address |
266 Main St Suite 4 Medfield MA 02052-2018 |
| Phone Number | 5083598141 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931109485 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220101 | NEWTON-WELLESLEY HOSPITAL |
| 220110 | BRIGHAM AND WOMEN'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 266 Main St, Suite 4, Medfield, MA 02052-2018 | 5083598141 | MARK H. ABENSOHN, M.D., L.L.C. |
| Organization Legal Name | MARK H. ABENSOHN, M.D., L.L.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark H Abensohn | Internal Medicine | Mark H. Abensohn, M.d., L.L.C. | 266 Main St, Suite 4, Medfield, MA 02052-2018 |
| Jennifer Bogdanovitch | Internal Medicine | Mark H. Abensohn, M.d., L.L.C. | 266 Main St, Medfield, MA 02052-2018 |
| Street Address |
266 MAIN ST SUITE 4 |
| City | MEDFIELD |
| State | MA |
| Zip | 02052-2018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark H Abensohn | Internal Medicine | Mark H. Abensohn, M.d., L.L.C. | 266 Main St, Suite 4, Medfield, MA 02052-2018 |
| Charles J Mcinnis | Internal Medicine | 266 Main St, Suite 41a, Medfield, MA 02052-2064 | |
| David L Macdonald | Optometry | 266 Main St, Old Saybrook, CT 06475-2397 | |
| Patricia M Murray | Nurse Practitioner | Heywood Medical Group Inc. | 266 Main St, Gardner, MA 01440-2927 |
| Zachary Henderson | Nurse Practitioner | Heywood Medical Group Inc. | 266 Main St, Gardner, MA 01440-2927 |
| Pamela Jean Sansoucy | Internal Medicine | Heywood Medical Group Inc. | 266 Main St, Gardner, MA 01440-2927 |
| Kristina E Lahtinen | Physician Assistant | Heywood Medical Group Inc. | 266 Main St, Gardner, MA 01440-2927 |
| Jennifer Bogdanovitch | Internal Medicine | Mark H. Abensohn, M.d., L.L.C. | 266 Main St, Medfield, MA 02052-2018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Simonovich | Optometry | Ilana Orelowitz O.d. Inc | 67 W St, Medfield, MA 02052 |
| Ilana Orelowitz | Optometry | Ilana Orelowitz O.d. Inc | 67 W St, Medfield, MA 02052 |
| Amie B Adams | Optometry | Ilana Orelowitz O.d. Inc | 67 W St, Medfield, MA 02052 |
| Brian Wheeler | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Icehouse Rd, Medfield, MA 02052-1555 |
| Carl Gustafson | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Icehouse Rd, Medfield, MA 02052-1555 |
| Danielle M Kaprielian | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Icehouse Rd, Medfield, MA 02052-1555 |
| Erica Feitler | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Icehouse Rd, Medfield, MA 02052-1555 |
| Leeza Meteleva | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Icehouse Rd, Medfield, MA 02052-1555 |
| Linda R Stoler | Psychologist, Clinical | 50 N St, Suite 100, Medfield, MA 02052-1654 | |
| Kristin C Meloni | Physical Therapy | Medfield Orthopedic and Sports Physical Therapy | 5 N Meadows Rd, Medfield, MA 02052-2317 |
| Find all physicians in zip 02052 | |||
| City | MEDFIELD |
| Zip Code | 02052 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MEDFIELD + NURSE PRACTITIONER |
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| 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.