Look up the most recent NPI and PECOS records

Jennifer R Lewis

Internal Medicine

Allopathic & Osteopathic Physicians

300 Kensington Ave, New Britain, CT 06051-3916

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER LEWIS.

Based on the most recent information from CMS, provider Jennifer R Lewis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1487421384
Provider Type
Individual
Full Name
Lewis, Jennifer R
Credential
NURSE PRACTITIONER

Gender
Female
Sole Proprietor
No
Enumeration Date
12/11/2023
Last Updated
3/27/2024

Contact Information

Practice Location

300 Kensington Ave, New Britain, CT 06051-3916

(860) 224-6263

Unlisted Fax

Mailing Location

300 Kensington Ave, New Britain, CT 06051-3916

(860) 224-6263

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 12004 Connecticut

Jennifer R Lewis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Honor, Michael S

Mcauliffe, Gerald V

Sheikh, Seemab

Dodenhoff, Robert M

Ohara, James M

Broisman, Larry B.

Sittambalam, Earle J

Holmes, Catherine

Alberti, Alfred Richard

Abdel Salam, Hoda