Caroline H Jenckes, CRNP | |
100 Kenyon Ave, Wakefield, RI 02879-4216 | |
(401) 788-1590 | |
Not Available |
Full Name | Caroline H Jenckes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 100 Kenyon Ave, Wakefield, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053351403 | NPI | - | NPPES |
CJ18682 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NPP22482 (Rhode Island) | Primary |
Entity Name | Northeast Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20170518000594 |
Mailing Address | Practice Location Address |
---|---|
Caroline H Jenckes, CRNP Po Box 229, Wakefield, RI 02880-0229 Ph: (401) 788-3337 | Caroline H Jenckes, CRNP 100 Kenyon Ave, Wakefield, RI 02879-4216 Ph: (401) 788-1590 |
Diane Mckeeff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Cherry Ln, Suite 1b, Wakefield, RI 02879 Phone: 401-789-7137 Fax: 401-685-0420 | |
Mr. Robert Desrosiers, APRN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Main St, Store # 2065, Wakefield, RI 02879 Phone: 401-783-3384 | |
Mrs. Mollie Jean Garrison, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 | |
Ms. Jill Susan Iacono, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Cherry Ln Ste 1b, Wakefield, RI 02879 Phone: 401-284-4555 | |
Gianna Delgado, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 River St, Wakefield, RI 02879 Phone: 401-783-0523 | |
Karen Ann Soderberg-gomez, RNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-788-1638 Fax: 401-782-9892 |