Physician Compare National (NPI:1982146148)

HEALTHCARE PROVIDER: ERICA SEEBECK DNP, AGNP-C

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

Individual Professional Information
NPI	1982146148
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638451321
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170112001203
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SEEBECK
	Individual professional last name
Provider First Name	ERICA
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	WESTERN CONNECTICUT MEDICAL GROUP INC
	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	4789597691
	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	585
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	195 DANBURY RD
	Group Practice or individual's line 1 address
City	WILTON
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	068974075
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2035630230
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070033
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DANBURY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070034
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORWALK HOSPITAL ASSOCIATION
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y