Dr Stephen Antonioli Jennings, MD is a
Surgery physician based in Kirtland Afb, New Mexico. Dr Stephen Antonioli Jennings is licensed to practice in Illinois (license number ) and his current practice location is 2050a Second St Se, Kirtland Afb, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 846-2426.
NPI number for Dr Stephen Antonioli Jennings is 1003888793 and his current mailing address is 2050a Second St Se, Kirtland Afb, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003888793.
Physician's Profile
Full Name | Dr Stephen Antonioli Jennings |
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Gender | Male |
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Speciality | Surgery |
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Location | 2050a Second St Se, Kirtland Afb, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003888793
- Provider Enumeration Date: 02/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Stephen Antonioli Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003888793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | (Illinois) | 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 Stephen Antonioli 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 Stephen Antonioli Jennings, MD 2050a Second St Se, Kirtland Afb, NM 87117-5522 Ph: (505) 846-2426 | Dr Stephen Antonioli Jennings, MD 2050a Second St Se, Kirtland Afb, NM 87117-5522 Ph: (505) 846-2426 |
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