Jayme Marie Clark, PA-C
Individual provider Active NPI Medical Physician Assistant · South Windsor, CT
NPI 1306115142 · NPPES record last updated Nov 30, 2012
Key facts
- NPI
- 1306115142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 002685 (CT)
- Practice address
- 2800 Tamarack Ave
Suite 104
South Windsor, CT 06074-5539 - Phone
- (860) 648-4480
- Fax
- (860) 648-2132
- NPI assigned
- Dec 23, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hartford Healthcare Medical Group Specialists PLLC
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
85 Seymour St
Hartford, CT 06106-5501
Phone (860) 696-4306
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.48 of 100
- Quality
- 83.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120213000037 | CT | Practitioner - Physician Assistant | 9830356328 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002685 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Current |
Accepting new patients | |
| St. Vincents Urgent Care LLC | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current |
Accepting new patients | |
| SVMC Holdings, Inc | Past | Accepting new patients | |
| Eastern Connecticut Medical Professionals Foundation Inc | Medical | Past | Accepting new patients |
| Eastern Connecticut Medical Professionals Foundation, Inc | Past | Accepting new patients |
Locations
385 W Main St
Avon, CT 06001
Phone (860) 777-1280
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505
2890 Main St
Ste 2A
Stratford, CT 06614
Phone (203) 378-3696
17 Church Hill Rd
Trumbull, CT 06611
Phone (203) 261-0800
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- jayme.clark@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 002685 | CT | Yes |
Addresses
Primary practice location
2800 Tamarack Ave
Suite 104
South Windsor, CT 06074-5539
Mailing address
PO Box 3252
Vernon, CT 06066-2152
Phone (860) 896-1422
Other providers in South Windsor, CT
- Dayna Chinsky
- Jack M. Chinsky
- Christa Madden MSW LCSW LLC
- Zozan Chweich
- Abigail Coromoto Cipriani Amador
- Clearview Therapy, LLC.
- Climb Innovations LLC
- Climb Medical Group LLC
- Clinical Connections, LLC
- Clinical Consultation Associates
All providers in South Windsor, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.