Ms Jacqueline F Kennedy, FNP is a
Nurse Practitioner - Primary Care based in Whately, Massachusetts. Ms Jacqueline F Kennedy is licensed to practice in Massachusetts (license number 169562) and her current practice location is
181 State Rd, Whately, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(413) 665-0176.
NPI number for Ms Jacqueline F Kennedy is 1609877653 and her current mailing address is P.o. Box 205, Whately, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609877653.
Provider's Profile
| Full Name | Ms Jacqueline F Kennedy |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Primary Care |
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| Location | 181 State Rd, Whately, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609877653
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Jacqueline F Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609877653 | NPI | - | NPPES |
| 9709444 | Medicaid | MA | |
| 0380890 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 169562 (Massachusetts) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 169562 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline F Kennedy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jacqueline F Kennedy, FNP
P.o. Box 205,
Whately, MA 01093
Ph: (413) 665-0176 | Ms Jacqueline F Kennedy, FNP
181 State Rd,
Whately, MA 01093
Ph: (413) 665-0176 |
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