| Matthew Clark Jenison, ACNP | |
|
50 Leroy St, Potsdam, NY 13676-1786 | |
| (315) 265-3300 | |
| Not Available |
| Full Name | Matthew Clark Jenison |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 50 Leroy St, Potsdam, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285994202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 430637 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rutherford Regional Medical Center | Rutherfordton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100512000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Clark Jenison, ACNP 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 265-3300 | Matthew Clark Jenison, ACNP 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 265-3300 |
Matthew Bonner Mclain, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Ms. Lucille Lyda Hanson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Market St, Potsdam, NY 13676 Phone: 315-274-7003 Fax: 315-425-2653 | |
Tayla Lyn Durant, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-9271 | |
Mr. Joseph John Adams Iv, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Noel Lawton Bloomfield Ii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-274-9075 | |
Judith Leach Chagnon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Student Health Ctr, Clarkson University, Potsdam, NY 13699 Phone: 315-268-6633 |