| Kelly D Jenne, NP | |
|
314 1st St E, Polson, MT 59860-2148 | |
| (406) 880-6415 | |
| Not Available |
| Full Name | Kelly D Jenne |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 314 1st St E, Polson, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144767344 | NPI | - | NPPES |
| 090540375 | Other | IN | MEDICARE PTAN |
| 300008240 | Medicaid | IN | |
| 068010568 | Other | IN | MEDICARE PTAN |
| P02474299 | Other | IN | RAILROAD PTAN |
| Entity Name | University Family Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | Pic Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942546890 PECOS PAC ID: 3476790239 Enrollment ID: O20130515000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly D Jenne, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Kelly D Jenne, NP 314 1st St E, Polson, MT 59860-2148 Ph: (406) 880-6415 |
Maria Mcneil Williams, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50125 Us Highway 93, Polson, MT 59860 Phone: 406-885-8385 Fax: 205-273-2430 | |
Shamyne Hover Dumouchel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Ridgewater Dr Ste A, Polson, MT 59860 Phone: 406-752-7441 Fax: 406-257-0304 | |
Lorina Kay Massey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 | |
Alexis Brandenburg, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5377 | |
Ms. Penny Lynn Starkel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5377 Fax: 406-883-8254 | |
Katherine Denali Troxel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Ridgewater Dr, Polson, MT 59860 Phone: 406-994-3597 |