| Jenna Rose Stoddard, FNP | |
|
4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 | |
| (231) 600-7466 | |
| (877) 370-4631 |
| Full Name | Jenna Rose Stoddard |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 4100 Park Forest Dr Ste 200, Traverse City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790549327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4704330253 (Michigan) | Primary |
| Entity Name | Novello Specialty Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629716964 PECOS PAC ID: 3870961493 Enrollment ID: O20221201001361 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Rose Stoddard, FNP 13800 Solon Rd, Traverse City, MI 49684-8558 Ph: () - | Jenna Rose Stoddard, FNP 4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 Ph: (231) 600-7466 |
Satya Pillay, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099 | |
Samantha K Windle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099 | |
Dr. Donald James Aiken, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16544 Wrightwood Terrace Dr, Traverse City, MI 49686 Phone: 231-223-7465 | |
Kaitlyn Lee Kilpatrick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Medical Campus Dr, Traverse City, MI 49684 Phone: 231-935-8000 Fax: 231-935-8099 | |
David J Wilcox, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 Business Park Dr, Traverse City, MI 49686 Phone: 800-968-6866 | |
Mark A Jackson, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1000 Pavilions Circle, Mark A Jackson Md Plc, Traverse City, MI 49684 Phone: 231-935-0913 Fax: 231-935-0984 | |
Gary Stephen Ruoff, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 South Garfield Ave, Traverse City, MI 49686 Phone: 231-935-0580 Fax: 231-935-0584 |