Jessica L Blankenship (NPI# 1104975937, PAC ID# 9739490392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1104975937 |
| PAC ID by PECOS | 9739490392 |
| Professional Enrollment ID | I20150623002151 |
| Full Name | Jessica L Blankenship |
| Organization Legal Name | BRISTOL HOSPITAL INCORPORATED |
| Address |
420 N Main St Bristol CT 06010-4923 |
| Phone Number | 8605855858 |
| Gender | F |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9739084096 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070029 | BRISTOL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 420 N Main St, Bristol, CT 06010-4923 | 8605855858 | BRISTOL HOSPITAL INCORPORATED |
| Organization Legal Name | BRISTOL HOSPITAL INCORPORATED |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah R Siegel | Clinical Social Worker | Bristol Hospital Incorporated | 420 N Main St, Bristol, CT 06010-4923 |
| Susanne M Wargo | Certified Clinical Nurse Specialist (cns) | Bristol Hospital Incorporated | 420 N Main St, Bristol, CT 06010-4923 |
| Street Address |
420 N MAIN ST |
| City | BRISTOL |
| State | CT |
| Zip | 06010-4923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Zacur | Dermatology | Adult and Pediatric Dermatology Pllc | 420 N Main St, Suite 600, Chelsea, MI 48118-1703 |
| Deborah R Siegel | Clinical Social Worker | Bristol Hospital Incorporated | 420 N Main St, Bristol, CT 06010-4923 |
| Jeffrey T Bryant | Psychologist, Clinical | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Anil Singal | Dermatology | Adult and Pediatric Dermatology Pllc | 420 N Main St, Suite 600, Chelsea, MI 48118-1703 |
| Susanne M Wargo | Certified Clinical Nurse Specialist (cns) | Bristol Hospital Incorporated | 420 N Main St, Bristol, CT 06010-4923 |
| Bill Wayne Swilley | Family Medicine | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Janice Y Walker | Clinical Psychologist | 420 N Main St, Goodlettsville, TN 37072-1520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy R Himmelstein | Optometry | 440 N Main St, Suite B, Bristol, CT 06010-1902 | |
| Kai H Hammerich | Urology | Bristol Hospital Multi Specialty Group Inc | 8 Collins Rd, Bristol, CT 06010-3874 |
| Margaret T Rush | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Devorah Donnell | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Shelby A Rimetz | Physician Assistant | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Antonio Scappaticci | Internal Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Lea Bailey | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Stewart E Bober | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Jeffrey Kaye | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Christopher J Leary | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Find all physicians in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BRISTOL + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jessica L Blankenship.
| 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.