Jane M Dennison, MD
Individual provider Active NPI Pediatrics Physician · Barrington, RI
NPI 1114912441 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1114912441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 6326 (RI)
- Practice address
- 234 Maple Ave
Barrington, RI 02806-3406 - Phone
- (401) 247-1644
- Fax
- (401) 247-4961
- NPI assigned
- Sep 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070717000388 | RI | Practitioner - Pediatric Medicine | 8426158668 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6326 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Pediatric & Adolescent Medicine Associates Inc | Pediatrics | Past |
Accepting new patients |
| Women & Infants Hospital of Rhode Island | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6326 | RI | Yes |
Addresses
Primary practice location
234 Maple Ave
Barrington, RI 02806-3406
Mailing address
234 Maple Ave
Barrington, RI 02806-3406
Phone (401) 247-1644
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404268 | Other | TUFTS | |
| 000627 | Other | BLUE CHIP | |
| 1200163 | Other | UNITED HEALTH CARE | |
| 22468 | Other | BLUE CROSS | |
| JD00910 | Medicaid | RI | |
| 6326 | Other | RI | MEDICAL LIC |
| 710048601 | Other | CIGNA |
Other providers in Barrington, RI
- Deborah C Deangelis
- Ashley Marie Debont
- Kathryn Delgreco
- Jeffrey Delricci Jr.
- Allen Mansfield Dennison
- Lisa Rachelle Denny
- Mary K Densley
- Debra Tucker Deragon
- Stephanie Des Chenes
- Felicia A Desmarais Toupin
All providers in Barrington, RI · Pediatrics Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.