| Amanda Desenna, CRNP | |
|
100 Kenyon Ave, South Kingstown, RI 02879-4216 | |
| (401) 782-8000 | |
| Not Available |
| Full Name | Amanda Desenna |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 100 Kenyon Ave, South Kingstown, Rhode Island |
| 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 |
|---|---|---|---|
| 1639752595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN02643 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Massachusetts General Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Massachusetts General Physicians Organization Inc | 2466365820 | 3204 |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Desenna, CRNP 1945 S Woodstock St, Philadelphia, PA 19145-2829 Ph: (401) 527-2170 | Amanda Desenna, CRNP 100 Kenyon Ave, South Kingstown, RI 02879-4216 Ph: (401) 782-8000 |
Laura Davidson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 401-785-0040 Fax: 401-633-6253 | |
Brigid Guidera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 S County Commons Way Ste C5, South Kingstown, RI 02879 Phone: 401-782-2400 | |
Rachel F Mikutel, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 310-905-2111 | |
Cynthia Lynne Notarianni, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 North Rd Ste A36, South Kingstown, RI 02879 Phone: 401-864-2447 | |
Kristen E Gricus, PMHNP-BC, IBCLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 844-754-6564 | |
Mrs. Andrea D'antonio, CPNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 65 Village Square Dr, South Kingstown, RI 02879 Phone: 401-789-5924 Fax: 401-782-1770 |