Dr Paul Mark Jennings, DO is a
Student In An Organized Health Care Education/training Program physician based in Long Branch, New Jersey. Dr Paul Mark Jennings is licensed to practice in * (Not Available) (license number ) and his current practice location is 300 2nd Ave, Long Branch, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(732) 923-6769.
NPI number for Dr Paul Mark Jennings is 1104313196 and his current mailing address is 593 Eddy St, Providence, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104313196.
Physician's Profile
| Full Name | Dr Paul Mark Jennings |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 300 2nd Ave, Long Branch, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104313196
- Provider Enumeration Date: 04/16/2018
- Last Update Date: 03/28/2024
Medical Identifiers
Medical identifiers for Dr Paul Mark Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104313196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 25MB11851800 (New Jersey) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul Mark Jennings is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Paul Mark Jennings, DO
593 Eddy St,
Providence, RI 02903-4923
Ph: (401) 793-2695 | Dr Paul Mark Jennings, DO
300 2nd Ave,
Long Branch, NJ 07740-6395
Ph: (732) 923-6769 |
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