| Dr Nathaniel Josef Jellinek, MD | |
|
1672 S County Trl, Suite 101, East Greenwich, RI 02818-5098 | |
| (404) 885-6647 | |
| (401) 885-6639 |
| Full Name | Dr Nathaniel Josef Jellinek |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 25 Years |
| Location | 1672 S County Trl, East Greenwich, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245256528 | NPI | - | NPPES |
| NJ53855 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 11514 (Rhode Island) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 11514 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pioneer Valley Dermatology Pc | 0244201960 | 5 |
| Dermatology Professionals Inc | 9234283953 | 18 |
| Entity Name | Pioneer Valley Dermatology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114020211 PECOS PAC ID: 0244201960 Enrollment ID: O20040804001571 |
| Entity Name | Coastal Dermatology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760927610 PECOS PAC ID: 3779860390 Enrollment ID: O20170509002519 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathaniel Josef Jellinek, MD 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5098 Ph: (404) 885-6647 | Dr Nathaniel Josef Jellinek, MD 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5098 Ph: (404) 885-6647 |
Dr. John B Kelly Iii, MD/PHD Dermatology Medicare: Medicare Enrolled Practice Location: 1672 S County Trl, East Greenwich, RI 02818 Phone: 401-885-7546 Fax: 401-885-6640 | |
Dr. Lynn E Iler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1672 S County Trl, Suite 101, East Greenwich, RI 02818 Phone: 401-885-7546 Fax: 401-885-6640 | |
Caroline Chang, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5586 Post Rd Unit 6, East Greenwich, RI 02818 Phone: 401-398-2500 Fax: 401-398-2599 | |
Valerie Ann Tokarz, D.O., FAAD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1672 S County Trl, Ste. 101, East Greenwich, RI 02818 Phone: 401-885-7546 Fax: 401-885-6658 | |
Alexandra Leonard, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1672 S County Trl, East Greenwich, RI 02818 Phone: 401-885-7546 | |
Dr. Julia O. Baltz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1672 S County Trl Ste 101, East Greenwich, RI 02818 Phone: 401-885-7546 Fax: 401-885-6640 |