| Jennifer Tavares, | |
|
100 Madison Ave, Morristown, NJ 07960-6136 | |
| (973) 971-6479 | |
| Not Available |
| Full Name | Jennifer Tavares |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 100 Madison Ave, Morristown, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952187684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ14974800 (New Jersey) | Secondary |
| 163W00000X | Registered Nurse | 26NR15119000 (New Jersey) | Primary |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Tavares, 100 Madison Ave, Morristown, NJ 07960-6136 Ph: (973) 971-6479 | Jennifer Tavares, 100 Madison Ave, Morristown, NJ 07960-6136 Ph: (973) 971-6479 |
Anthony Rizzuti, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 100 Madison Ave, Morristown, NJ 07960 Phone: 800-991-9133 | |
Mrs. Lauren Theresa Minotti, BSN, RN, CNOR, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Madison Ave, Morristown, NJ 07960 Phone: 973-971-6900 | |
Rachel Christie Millet, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Madison Ave, Morristown, NJ 07960 Phone: 973-971-5025 | |
Mrs. Colleen Jane Devita, RN BSN CNOR CRNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Madison Ave, Morristown, NJ 07960 Phone: 973-971-5532 | |
Wendy Fruehling, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Madison Ave, Morristown, NJ 07960 Phone: 973-971-5227 | |
Gina Massoni, DNP, FNP-C Registered Nurse Medicare: Medicare Enrolled Practice Location: 100 Madison Ave, Morristown, NJ 07960 Phone: 973-971-7960 | |
Eileen M Fennell, DNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 100 Madison Ave, Morristown, NJ 07960 Phone: 973-971-5000 |