Jendayi Renea Watkins, is a
Specialist/technologist - Athletic Trainer based in Deerfield, Illinois. Jendayi Renea Watkins is licensed to practice in Illinois (license number ) and her current practice location is
2065 Half Day Rd, Deerfield, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 487-9241.
NPI number for Jendayi Renea Watkins is 1306365150 and her current mailing address is 1620 Labonte Pkwy, Mcdonough, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306365150.
Provider's Profile
| Full Name | Jendayi Renea Watkins |
|---|
| Gender | Female |
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| Speciality | Specialist/technologist - Athletic Trainer |
|---|
| Location | 2065 Half Day Rd, Deerfield, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306365150
- Provider Enumeration Date: 09/13/2017
- Last Update Date: 09/03/2026
Medical Identifiers
Medical identifiers for Jendayi Renea Watkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306365150 | NPI | - | NPPES |
| XOH846989710 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LG0600X | Nurse Practitioner - Gerontology | APRN-NP300203 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Illinois) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | APRN-NP300203 (Georgia) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (Illinois) | Primary |
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. Jendayi Renea Watkins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jendayi Renea Watkins, 1620 Labonte Pkwy, Mcdonough, GA 30253-8124 Ph: Not Available | Jendayi Renea Watkins, 2065 Half Day Rd, Deerfield, IL 60015-1241 Ph: (630) 487-9241 |
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