Jenna Anne Gonillo-davis, NP is a medicare enrolled "Psychiatry & Neurology - Neurology" in Victor, New York. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Heidi Lynn Yip Np In Acute Care Pllc and her current practice location is
6536 Anthony Dr Ste C, Victor, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 433-8050.
Jenna Anne Gonillo-davis is licensed to practice in New York (license number 430910) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942680590.
Provider's Profile
| Full Name | Jenna Anne Gonillo-davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 6536 Anthony Dr Ste C, Victor, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jenna Anne Gonillo-davis graduated from nursing school in 2015
NPI Data:
- NPI Number: 1942680590
- Provider Enumeration Date: 06/08/2015
- Last Update Date: 05/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 7214245901
- Enrollment ID: I20150929003237
Medical Identifiers
Medical identifiers for Jenna Anne Gonillo-davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942680590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | 430910 (New York) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 430910 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Heidi Lynn Yip Np In Acute Care Pllc | 1759740871 | 2 |
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. Jenna Anne Gonillo-davis allows following entities to bill medicare on her behalf.
| Entity Name | Heidi Lynn Yip NP in Acute Care PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750077897
PECOS PAC ID: 1759740871
Enrollment ID: O20230707002613 |
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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. Jenna Anne Gonillo-davis 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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Jenna Anne Gonillo-davis, NP
6536 Anthony Dr Ste C,
Victor, NY 14564-1419
Ph: (585) 433-8050 | Jenna Anne Gonillo-davis, NP
6536 Anthony Dr Ste C,
Victor, NY 14564-1419
Ph: (585) 433-8050 |
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