| Dr Jennifer Ann Dieu, ARNP, PMHNP | |
|
1203 Baltimore Ave, Waycross, GA 31501-4228 | |
| (973) 713-6819 | |
| (855) 243-0002 |
| Full Name | Dr Jennifer Ann Dieu |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1203 Baltimore Ave, Waycross, Georgia |
| 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 |
|---|---|---|---|
| 1831564210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | ARNP9198060 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moonshot Psychiatric Nurse Practitioner Pc | 9335589696 | 79 |
| Moonshot Psychiatric Nurse Practitioner Pc | 9335589696 | 79 |
| Grow Healthcare Group Pa | 3476961368 | 1045 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Entity Name | Moonshot Psychiatric Nurse Practitioner PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669158879 PECOS PAC ID: 9335589696 Enrollment ID: O20241028003481 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Ann Dieu, ARNP, PMHNP 1203 Baltimore Ave, Waycross, GA 31501-4228 Ph: (973) 713-7322 | Dr Jennifer Ann Dieu, ARNP, PMHNP 1203 Baltimore Ave, Waycross, GA 31501-4228 Ph: (973) 713-6819 |
Melinda Rozier, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-8600 |
Pamela B Carter, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 Riverside Ave, Waycross, GA 31501 Phone: 912-284-2953 Fax: 912-284-2522 |
Sonya Lee, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-8600 |
Lucinda Trotter, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-8600 |
Lorie Ann Lindsay, RN, MSN FNP-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1501 Alice St, Waycross, GA 31501 Phone: 912-285-0877 Fax: 912-285-0387 |
Earnie Mae Deen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-8601 |
Michelle Reid, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100 |