Jonathon Charles Wenke, FNP | |
187 Wilson Blvd, Islip, NY 11751-2211 | |
(631) 882-0302 | |
(631) 277-2393 |
Full Name | Jonathon Charles Wenke |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 187 Wilson Blvd, Islip, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124681242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 344101 (New York) | Primary |
Entity Name | South Shore Family Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720122716 PECOS PAC ID: 5597803213 Enrollment ID: O20091117000286 |
Entity Name | Back To Health Medical Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295227387 PECOS PAC ID: 9335486190 Enrollment ID: O20190201000168 |
Mailing Address | Practice Location Address |
---|---|
Jonathon Charles Wenke, FNP 187 Wilson Blvd, Islip, NY 11751-2211 Ph: (631) 882-0302 | Jonathon Charles Wenke, FNP 187 Wilson Blvd, Islip, NY 11751-2211 Ph: (631) 882-0302 |
Danielle Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 45th St, Islip, NY 11751 Phone: 631-387-1534 | |
Danielle Mcmahon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 712 Main St, Islip, NY 11751 Phone: 631-666-3939 | |
Elissa H Kravis, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 712 Main St, Islip, NY 11751 Phone: 631-666-3951 Fax: 631-666-3994 | |
Prof. Melissa Sonya Stockman, RN-CS, ANP, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 Islip Ave Ste 23, Islip, NY 11751 Phone: 631-277-6767 | |
Ms. Eileen Marie Hannon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39 Iron Wood Street, Islip, NY 11751 Phone: 631-277-8779 | |
Michael James Haefele, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32 Cedar Avenue Ext, Islip, NY 11751 Phone: 631-972-8841 |