Jacquelyn Marie Dennis (NPI# 1982064432, PAC ID# 5193024016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1982064432 |
PAC ID by PECOS | 5193024016 |
Professional Enrollment ID | I20160427002239 |
Full Name | Jacquelyn Marie Dennis |
Organization Legal Name | MANOR MANAGEMENT CO INC |
Address |
1207 W State St Suite N Alliance OH 44601-4631 |
Phone Number | 3308213244 |
Gender | F |
Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
Graduation Year | 2013 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7012911209 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360131 | ALLIANCE COMMUNITY HOSPITAL |
360084 | AULTMAN HOSPITAL |
Address | Phone | Organization |
---|---|---|
1207 W State St, Suite N, Alliance, OH 44601-4631 | 3308213244 | MANOR MANAGEMENT CO INC |
Organization Legal Name | MANOR MANAGEMENT CO INC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Pamela A Rodocoy | Internal Medicine | Manor Management Co Inc | 4080 Holiday St Nw, Canton, OH 44718-2513 |
Mark E Hostettler | Internal Medicine | Manor Management Co Inc | 1168 Alliance Rd, Minerva, OH 44657-8736 |
David B Kimbell | Internal Medicine | Manor Management Co Inc | 1168 Alliance Rd, Minerva, OH 44657-8736 |
Quinn M Repp | Physician Assistant | Manor Management Co Inc | 1168 Alliance Rd, Minerva, OH 44657-8736 |
Matthew Scott Gooch | Nurse Practitioner | Manor Management Co Inc | 1168 Alliance Rd, Minerva, OH 44657-8736 |
Street Address |
1207 W STATE ST SUITE N |
City | ALLIANCE |
State | OH |
Zip | 44601-4631 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marissa N Ragon | Nurse Practitioner | Commquest Services Inc | 1207 W State St, Suite M, Alliance, OH 44601-4686 |
Thomas A Wohl | Ophthalmology | Roholt Vision Institute Inc | 1207 W State St, Alliance, OH 44601-4686 |
Robert Michael Parsons | Nurse Practitioner | Commquest Services Inc | 1207 W State St, Suite M, Alliance, OH 44601-4686 |
Philip C Roholt | Ophthalmology | Roholt Vision Institute Inc | 1207 W State St, Alliance, OH 44601-4686 |
Sandra L Mcalister | Clinical Social Worker | Commquest Services Inc | 1207 W State St, Suite M, Alliance, OH 44601-4686 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katherine Hardesty | Physician Assistant | Alliance Community Medical Foundation LLC | 11750 Klinger Ave Ne, Alliance, OH 44601-1113 |
Dawn Celeste French | Nurse Practitioner | Alliance Community Medical Foundation LLC | 11750 Klinger Ave Ne, Alliance, OH 44601-1113 |
Kimberly A Anthony | Qualified Audiologist | Alliance Community Medical Foundation LLC | 11750 Klinger Ave Ne, Alliance, OH 44601-1113 |
Michael Gordon Grimes | Family Medicine | Alliance Community Medical Foundation LLC | 11750 Klinger Ave Ne, Alliance, OH 44601-1113 |
Mary L Pavlica | Family Medicine | Alliance Community Medical Foundation LLC | 11750 Klinger Ave Ne, Alliance, OH 44601-1113 |
Mark E Lamielle | Family Medicine | Alliance Community Medical Foundation LLC | 11750 Klinger Ave Ne, Alliance, OH 44601-1113 |
Tod A Filmer | Physician Assistant | Alliance Community Medical Foundation LLC | 11750 Klinger Ave Ne, Alliance, OH 44601-1113 |
Lauren Rogel | Physician Assistant | Alliance Community Medical Foundation LLC | 11750 Klinger Ave Ne, Alliance, OH 44601-1113 |
Bert Pederzol | Optometry | 1406 W Main St, Alliance, OH 44601-2154 | |
Joseph Pederzolli | Optometry | 32 E Broadway St, Alliance, OH 44601-2647 | |
Find all physicians in zip 44601 |
City | ALLIANCE |
Zip Code | 44601 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ALLIANCE + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.