| Jeannine Marie Destries, FNP | |
|
4435 Seneca Rd, Trumansburg, NY 14886-9201 | |
| (607) 387-5707 | |
| Not Available |
| Full Name | Jeannine Marie Destries |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 4435 Seneca Rd, Trumansburg, New York |
| 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 |
|---|---|---|---|
| 1114543691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F345948-01 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trumansburg Medicine Pllc | 5395846794 | 6 |
| Entity Name | Trumansburg Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528056942 PECOS PAC ID: 5395846794 Enrollment ID: O20070730000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannine Marie Destries, FNP 248 White Church Rd, Brooktondale, NY 14817-9766 Ph: (607) 279-1621 | Jeannine Marie Destries, FNP 4435 Seneca Rd, Trumansburg, NY 14886-9201 Ph: (607) 387-5707 |
Matthew Phillip Simone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1859 Trumansburg Rd, Trumansburg, NY 14886 Phone: 607-882-6001 Fax: 607-270-1277 | |
Johannah Shortle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 | |
Rebecca A Damiani, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 Fax: 607-387-4354 | |
Shawnti Storm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 | |
Mrs. Bridget Martin-slocum, ACNP-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7187 Jacksonville Rd, Trumansburg, NY 14886 Phone: 703-638-8151 |