Jacquelynn M Dimuccio, PA-C - Medicare Physician Assistant in Cranston, RI

Jacquelynn M Dimuccio, PA-C is a medicare enrolled "Physician Assistant" in Cranston, Rhode Island. Her current practice location is 1150 Reservoir Ave Ste 203, Cranston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 259-0340.

Jacquelynn M Dimuccio is licensed to practice in Rhode Island (license number PA01239) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275155574.

Contact Information

Jacquelynn M Dimuccio, PA-C
1150 Reservoir Ave Ste 203,
Cranston, RI 02920-6043
(401) 259-0340
Not Available



Provider's Profile

Full NameJacquelynn M Dimuccio
GenderFemale
SpecialityPhysician Assistant
Location1150 Reservoir Ave Ste 203, Cranston, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275155574
  • Provider Enumeration Date: 05/11/2020
  • Last Update Date: 10/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991124646
  • Enrollment ID: I20200929002047

Medical Identifiers

Medical identifiers for Jacquelynn M Dimuccio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275155574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA01239 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelynn M Dimuccio is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacquelynn M Dimuccio, PA-C
1150 Reservoir Ave Ste 203,
Cranston, RI 02920-6043

Ph: (401) 259-0340
Jacquelynn M Dimuccio, PA-C
1150 Reservoir Ave Ste 203,
Cranston, RI 02920-6043

Ph: (401) 259-0340

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Physician Assistant Nurses in Cranston, RI

Brianna Southwick, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 333 Budlong Rd, Cranston, RI 02920
Phone: 401-943-4530    
Leanne M Nadeau, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 333 Budlong Rd, Cranston, RI 02920
Phone: 401-943-4530    Fax: 401-943-5107
Kathleen Ricci, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 75 Sockanosset Cross Rd Ste 100, Cranston, RI 02920
Phone: 401-946-6200    Fax: 401-275-1992
Grace Barber, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Chapel View Blvd, Suite 225, Cranston, RI 02920
Phone: 401-400-8414    
Mrs. Jennifer Lynn Geremia, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1150 Reservoir Avenue, Suite 201, Cranston, RI 02920
Phone: 401-943-1300    Fax: 401-946-8480
Sophia Grace Brownstein,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1150 Reservoir Ave Ste 300, Cranston, RI 02920
Phone: 401-223-2828    
Susan Pitt, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 75 Sockanosset Cross Rd, Cranston, RI 02920
Phone: 401-946-6200    Fax: 401-275-1992

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