Individual ProviderJessica AbellardPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address266 Dixwell Avenue, Northside, New Haven, CT 06511-1134(203) 503-3470(203) 503-3000PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Abellard is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1881906139Provider TypeIndividualFull NameAbellard, JessicaTitleDr.CredentialPSYCHIATRISTGenderFemaleSole ProprietorYesEnumeration Date7/1/2010Last Updated8/19/2019Contact InformationPractice LocationPractice Address266 Dixwell Avenue, Northside, New Haven, CT 06511-1134Phone(203) 503-3470Fax(203) 503-3478Mailing LocationMailing Address400 Columbus Avenue, Credentialing Specialist, New Haven, CT 06519-1233Phone(203) 503-3000Fax(203) 503-6515Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense56571ConnecticutCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseMD460127PennsylvaniaProvider IdentifiersIDDescriptionIssuerID004235918DescriptionMedicaidIssuerUnlistedConnecticut