Jacquelyne Phanavong
NPI 1730439597ActiveIndividual· Physician Assistant· New Britain, CT
Physician Assistant with Hartford Healthcare Medical Group Specialists PLLC, practicing in New Britain, Connecticut. Their prescriptions cost Medicare Part D more than their services did: $456,191 for 1,894 claims, against $68,375 paid for services in 2024. Medtronic, Inc. reported $74.36 in payments in 2025, mostly food and beverage. Lists Hartford Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1730439597 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 19, 2012 |
| Last updated in NPPES | Feb 15, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 02813 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 321 |
|---|---|
| Services billed | 1,323 across 25 procedure codes |
| Paid by Medicare | $68,375 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,894 · 3,793 30-day fills |
|---|---|
| Patients | 543 |
| Total drug cost | $456,191 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Hartford Healthcare Medical Group Specialists PLLCBridgeport, CT · 1,588 clinicians
Hospital affiliations
- Hartford HospitalHartford, CT
- The Hospital of Central ConnecticutNew Britain, CT
Industry payments (Open Payments)
- 2025$74.36 · 3 payments from 1 company
- 2024$202.34 · 7 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $74.36 | 3 |
What the 2025 payments were for
- Food and Beverage$74.36 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 physician assistants in New Britain · All physician assistants in Connecticut