Dr Jessica Marie Lettieri, MD | |
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
(270) 798-8400 | |
Not Available |
Full Name | Dr Jessica Marie Lettieri |
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Gender | Female |
Speciality | Pediatrics |
Location | 650 Joel Dr, Fort Campbell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093210643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA11155500 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
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Dr Jessica Marie Lettieri, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: () - | Dr Jessica Marie Lettieri, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400 |
Dr. Parker Thompson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-4677 | |
Mr. Douglas Henry, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 605 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 Phone: 270-798-8372 | |
Gwynetta Maria Luckett, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8388 | |
Dr. Domenick Paul Nardi Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8470 | |
Dr. Suzanne Marie Wical, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 605-651-4259 | |
Angela M. Uy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180 |