| Mrs Nicole Marie Antenucci, PA | |
|
1 Jarrett White Rd, Tamc, Tripler Army Medical Center, HI 96859-5001 | |
| (808) 433-7699 | |
| Not Available |
| Full Name | Mrs Nicole Marie Antenucci |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii |
| 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 |
|---|---|---|---|
| 1972739852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9109691 (Florida) | Primary |
| 363AM0700X | Physician Assistant - Medical | MA052460 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 275 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Marie Antenucci, PA 3 Shircliff Way, Ste 714, Jacksonville, FL 32204-4786 Ph: (814) 590-5495 | Mrs Nicole Marie Antenucci, PA 1 Jarrett White Rd, Tamc, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-7699 |
Daeyun Kim, PHYSICIAN ASSISTANTS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-9311 | |
Dr. Michael Joseph Rabener, DSC, EMPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-3707 | |
Seth Snyder, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-6661 Fax: 808-433-1551 | |
Jay O'hara, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 505-235-7076 | |
Adrianne French, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-9403 | |
Jonathan Christopher Lane, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 909-273-7526 | |
Mr. Robert Louis Gipson Ii, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-6661 Fax: 808-433-1551 |