Jackie Marlene Woodside, APRN - Medicare Nurse Practitioner in Charlestown, RI

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Jackie Marlene Woodside, APRN is a medicare enrolled "Nurse Practitioner" in Charlestown, Rhode Island. Her current practice location is 51 Old Mill Rd, Charlestown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 364-1268.

Jackie Marlene Woodside is licensed to practice in Rhode Island (license number APRN04100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982310710.

Contact Information

Jackie Marlene Woodside, APRN
51 Old Mill Rd,
Charlestown, RI 02813-3322
(401) 364-1268
Not Available

Map and Direction




Provider's Profile

Full NameJackie Marlene Woodside
GenderFemale
SpecialityNurse Practitioner
Location51 Old Mill Rd, Charlestown, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982310710
  • Provider Enumeration Date: 01/25/2023
  • Last Update Date: 07/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032640479
  • Enrollment ID: I20241009001825

Medical Identifiers

Medical identifiers for Jackie Marlene Woodside such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982310710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN04100 (Rhode Island)Primary
390200000XStudent In An Organized Health Care Education/training Program RN58926 (Rhode Island)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackie Marlene Woodside allows following entities to bill medicare on her behalf.
Entity NameNarragansett Indian Tribe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760532451
PECOS PAC ID: 3072406297
Enrollment ID: O20040203000479

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Marlene Woodside is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackie Marlene Woodside, APRN
51 Old Mill Rd,
Charlestown, RI 02813-3322

Ph: (401) 364-1268		Jackie Marlene Woodside, APRN
51 Old Mill Rd,
Charlestown, RI 02813-3322

Ph: (401) 364-1268

Reviews and Comments


Nurse Practitioner Nurses in Charlestown, RI

Wendy E Holland, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3769 Old Post Rd, Charlestown, RI 02813
Phone: 401-854-7955    
Gina Cozzolino Mayo, MS, RNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4099 Old Post Rd, Charlestown, RI 02813
Phone: 401-364-0770    Fax: 401-364-7694

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.