| Brooke L Jennings, | |
|
135 E Rich Blvd, Elizabeth City, NC 27909-5518 | |
| (252) 333-1277 | |
| (252) 333-1877 |
| Full Name | Brooke L Jennings |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 135 E Rich Blvd, Elizabeth City, North Carolina |
| 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 |
|---|---|---|---|
| 1083164222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Chowan Hospital | Edenton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 986 |
| Entity Name | Vidant Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Comprehensive Rehabilitation & Pain Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578747077 PECOS PAC ID: 9931285566 Enrollment ID: O20080324000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke L Jennings, 135 E Rich Blvd, Elizabeth City, NC 27909-5518 Ph: (252) 333-1277 | Brooke L Jennings, 135 E Rich Blvd, Elizabeth City, NC 27909-5518 Ph: (252) 333-1277 |
Kelly Weeks Meads, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1144 N Road St Ste 200, Elizabeth City, NC 27909 Phone: 252-384-2360 Fax: 252-384-2359 |
Chiarina Simeone Heyder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1134 N Road St Ste 9, Elizabeth City, NC 27909 Phone: 252-331-1100 |
John Joseph Beneck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1144 N Road St Ste 200, Elizabeth City, NC 27909 Phone: 252-384-2360 Fax: 252-384-2359 |
Andrea M. Dunlap, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1141 N Road St, Suite L, Elizabeth City, NC 27909 Phone: 252-335-0803 Fax: 252-331-1796 |
Stacey Ann Beneck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 Thunder Rd, Ste 140, Elizabeth City, NC 27909 Phone: 252-334-0320 Fax: 855-330-7320 |
Ms. Linda G Brower, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1141 N Road St, Suite G, Elizabeth City, NC 27909 Phone: 252-335-5424 Fax: 252-335-1077 |
David Chester Newbrough, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 102 Medical Dr, Elizabeth City, NC 27909 Phone: 252-338-4117 |