Jackie Marlene Woodside, APRN is a medicare enrolled "Nurse Practitioner" in Charlestown, Rhode Island. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Narragansett Indian Tribe and 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
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1982310710.
Provider's Profile
| Full Name | Jackie Marlene Woodside |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 51 Old Mill Rd, Charlestown, Rhode Island |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jackie Marlene Woodside graduated from nursing school in 2023
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.
| Identifier | Type | State | Issuer |
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| 1982310710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | APRN04100 (Rhode Island) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | RN58926 (Rhode Island) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Narragansett Indian Tribe | 3072406297 | 3 |
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 Name | Narragansett Indian Tribe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760532451
PECOS PAC ID: 3072406297
Enrollment ID: O20040203000479 |
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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 Address | Practice Location Address |
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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 |
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