Physician Compare National (NPI:1346276417)

HEALTHCARE PROVIDER: JENNIE WEBB-WRIGHT M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346276417
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234170077
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050521000057
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEBB-WRIGHT
	Individual professional last name
Provider First Name	JENNIE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	HOSPICE/PALLIATIVE CARE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8022440056
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	146
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1510 N 28TH ST
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	RICHMOND
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	232235311
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490059
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BON SECOURS ST MARYS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490069
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y