Mrs Jennifer Boyd Bootle, FNP | |
14089 Abercorn St, Savannah, GA 31419-1966 | |
(912) 350-2121 | |
(912) 350-2145 |
Full Name | Mrs Jennifer Boyd Bootle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 14089 Abercorn St, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417296898 | NPI | - | NPPES |
003138354B | Medicaid | GA | |
003138354A | Medicaid | GA | |
P01241129 | Other | GA | RAILROAD MEDICARE |
003138354C | Medicaid | GA | |
003138354D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN227783 (Georgia) | Primary |
363LF0000X | Nurse Practitioner - Family | 18172 (South Carolina) | Secondary |
Entity Name | Doctors Care, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366499048 PECOS PAC ID: 6204731300 Enrollment ID: O20040112000069 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Boyd Bootle, FNP 14089 Abercorn St, Savannah, GA 31419-1966 Ph: (912) 350-2121 | Mrs Jennifer Boyd Bootle, FNP 14089 Abercorn St, Savannah, GA 31419-1966 Ph: (912) 350-2121 |
Glenda Laine Eloge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5353 Reynolds St, Ste 300, Savannah, GA 31405 Phone: 912-355-6005 Fax: 912-355-5643 | |
Ms. Deborah Evelyn Kemp, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1302 Drayton St, Savannah, GA 31401 Phone: 912-443-9409 Fax: 912-443-1843 | |
Deanna M Wildes, RN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Avenue, Suite 500, Savannah, GA 31404 Phone: 912-352-8346 Fax: 912-355-1414 | |
Abegail Delez Xiang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Abercorn St, Savannah, GA 31405 Phone: 912-352-8700 Fax: 912-650-6805 | |
Jackie M Kehrli, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 202, Savannah, GA 31404 Phone: 912-350-7412 Fax: 912-350-7297 | |
Caroline Shealy Sauers, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6602 Waters Ave Bldg C, Savannah, GA 31406 Phone: 912-354-7676 Fax: 912-354-6040 | |
Stacy Eagle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6602 Waters Ave, Savannah, GA 31406 Phone: 912-354-7676 |