| Jessica Wentworth, | |
|
26850 Providence Pkwy, Novi, MI 48374-1213 | |
| (248) 465-5330 | |
| Not Available |
| Full Name | Jessica Wentworth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 26850 Providence Pkwy, Novi, Michigan |
| 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 |
|---|---|---|---|
| 1336591973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 4704282917 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Downriver Mental Health Clinic Pc | 7911995139 | 238 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Ascension Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144285107 PECOS PAC ID: 6103738703 Enrollment ID: O20040316001258 |
| Entity Name | Downriver Mental Health Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Wentworth, 26850 Providence Pkwy, Novi, MI 48374-1213 Ph: () - | Jessica Wentworth, 26850 Providence Pkwy, Novi, MI 48374-1213 Ph: (248) 465-5330 |
Ashley H Edmonds, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41850 W 11 Mile Rd Ste 202, Novi, MI 48375 Phone: 810-429-7859 | |
Jonathan Michael Fleezanis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 Phone: 248-476-0035 | |
Dr. Lorraine Lee Burgunder-zdravkovski, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26850 Providence Pkwy Ste 300, Novi, MI 48374 Phone: 248-766-6513 | |
Lydia Mayes Washington, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41800 W 11 Mile Rd Ste 109, Novi, MI 48375 Phone: 704-637-1182 | |
Jessica Dikhow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26090 Lannys Road, Novi, MI 48375 Phone: 248-200-9420 | |
Kelsey Lauren Koch, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 21643 Sunflower Rd, Novi, MI 48375 Phone: 248-996-3024 | |
Justine Bahoura, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42350 Grand River Ave, Novi, MI 48375 Phone: 248-697-2942 |