Jenna Marie Iannuccilli, MD | |
400 Massasoit Ave Ste 300, East Providence, RI 02914-2012 | |
(401) 434-2704 | |
(401) 434-4054 |
Full Name | Jenna Marie Iannuccilli |
---|---|
Gender | Female |
Speciality | Critical Care (intensivists) |
Experience | 8 Years |
Location | 400 Massasoit Ave Ste 300, East Providence, Rhode Island |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609229798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | LP03816 (Rhode Island) | Secondary |
207R00000X | Internal Medicine | MD16838 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Landmark Medical Center | Woonsocket, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prime Healthcare Services Landmark Llc | 3274761069 | 45 |
Entity Name | Lifespan Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
Entity Name | Prime Healthcare Services Landmark Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518388651 PECOS PAC ID: 3274761069 Enrollment ID: O20140428000588 |
Mailing Address | Practice Location Address |
---|---|
Jenna Marie Iannuccilli, MD 825 Chalkstone Ave, Providence, RI 02908-4728 Ph: () - | Jenna Marie Iannuccilli, MD 400 Massasoit Ave Ste 300, East Providence, RI 02914-2012 Ph: (401) 434-2704 |
Matthew J Franco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Warren Ave, Suite 401, East Providence, RI 02914 Phone: 800-508-4908 Fax: 401-228-6236 | |
Mr. Michael F Gilson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 Warren Ave, 2nd Floor, East Providence, RI 02914 Phone: 401-606-1004 Fax: 401-606-1153 | |
Dr. Christopher Song, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 Warren Ave, East Providence, RI 02914 Phone: 401-606-1004 Fax: 401-606-1153 | |
Dr. Ricardo Rafael Correa Marquez, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 900 Warren Avenue, Suite 300, East Providence, RI 02914 Phone: 786-246-5719 | |
May Min, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 Warren Ave Ste 301, East Providence, RI 02914 Phone: 401-606-4260 | |
Prerna Ganjoo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 318 Waterman Ave, East Providence, RI 02914 Phone: 401-438-5950 Fax: 401-435-6700 | |
Mordecai Jeremiah Stolk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 318 Waterman Ave, East Providence, RI 02914 Phone: 401-438-5950 Fax: 401-435-6700 |