| Jenna Anne Gonillo-davis, NP | |
|
6536 Anthony Dr Ste C, Victor, NY 14564-1419 | |
| (585) 433-8050 | |
| (585) 492-9022 |
| Full Name | Jenna Anne Gonillo-davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 6536 Anthony Dr Ste C, Victor, New York |
| 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 |
|---|---|---|---|
| 1942680590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 430910 (New York) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 430910 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rochester General Hospital | Rochester, NY | Hospital |
| F F Thompson Hospital | Canandaigua, NY | Hospital |
| Clifton Springs Hospital And Clinic | Clifton springs, NY | Hospital |
| Soldiers And Sailors Memorial Hospital Of Yates | Penn yan, NY | Hospital |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | University Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019 |
| Entity Name | The Unity Hospital Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
| Entity Name | U Of R Neurology Department |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184725525 PECOS PAC ID: 1456248699 Enrollment ID: O20040302000743 |
| Entity Name | United Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
| Entity Name | Pulmonary Disease Clinical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881641652 PECOS PAC ID: 6608821657 Enrollment ID: O20050314000309 |
| Entity Name | Western New York Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Anne Gonillo-davis, NP 6536 Anthony Dr Ste C, Victor, NY 14564-1419 Ph: (585) 433-8050 | Jenna Anne Gonillo-davis, NP 6536 Anthony Dr Ste C, Victor, NY 14564-1419 Ph: (585) 433-8050 |