Eugene Leslie Jennings, M.D.

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

MD069938L Issued in PA

Practice address

30-32 N Main St
Carbondale, PA 18407-2304

Phone

(570) 242-2271

NPI assigned

May 21, 2007

Last updated

Mar 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

JS Weill Medical College, Cornell University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aaron Center, Inc.Group PAC ID 4880691732, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaron Center, Inc.

  • Psychiatry Physician
  • Scranton, PA
  • NPI 1386628691
  Medicare reassignment Care Compare group NPD
• Merakey Pennsylvania

  • Community/Behavioral Health Agency
  • Mount Pocono, PA
  • NPI 1780830034
  Medicare reassignment NPD
• Merakey Pennsylvania

  • Community/Behavioral Health Agency
  • Bethlehem, PA
  • NPI 1750686812
  NPD
• Merakey Pennsylvania

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1467252536
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1720296858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30-32 N MAIN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072304",
            "telephone_number": "570-242-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-32 N MAIN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072304",
            "telephone_number": "570-242-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "EUGENE",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "PA",
            "license": "MD069938L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD069938L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Howe, COTA/L
• Autumn Huff
• Samantha Huff
• David A Humphreys, LCSW
• Caitanne Mary Jaggars, MA, CCC-SLP
• JM Mancuso Enterprise Inc (Figliomeni Drug Store)
• JM Mancuso Inc (Figliomeni Drug Store)
• Robert Brandon Johnson, MSPT
• Annlatish Jones, LBS
• Chelsie Marie Jones

• Psychosomatic Medicine Physician in Carbondale, PA
• Providers in Carbondale, PA by specialty
• Psychosomatic Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.