| Jennifer Poillucci, CNP, FNP-C | |
|
345 Blackstone Blvd, Providence, RI 02906-4800 | |
| (401) 680-6502 | |
| (401) 455-6309 |
| Full Name | Jennifer Poillucci |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 345 Blackstone Blvd, Providence, Rhode Island |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467836254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN216727 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN04386 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Hospital | Taunton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Medical Group Inc | 2860688728 | 602 |
| Lifespan Physician Group Of Massachusetts Inc | 3870020399 | 286 |
| Entity Name | Sound Physicians Of Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740678408 PECOS PAC ID: 2062554637 Enrollment ID: O20100120000133 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Entity Name | Sound Physicians Of Massachusetts Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306376397 PECOS PAC ID: 9436421567 Enrollment ID: O20170823003703 |
| Entity Name | Lifespan Physician Group Of Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957713 PECOS PAC ID: 3870020399 Enrollment ID: O20241223001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Poillucci, CNP, FNP-C 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 273-0641 | Jennifer Poillucci, CNP, FNP-C 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 680-6502 |
Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902 | |
Nnemeka A Okpala, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 617-419-0482 | |
Phina A Mayu, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290 | |
Beverly Casinelli, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150 | |
Kristen Ann Chapian, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-793-5708 Fax: 401-793-5171 | |
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011 | |
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571 |