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Jeannine Marguerite Sherwood

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

450 Clarkson Ave, Brooklyn, NY 11203-2012

PECOS Enrollment

This provider is enrolled in PECOS as JEANNINE SHERWOOD.

Based on the most recent information from CMS, provider Jeannine Marguerite Sherwood is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1235918418
Provider Type
Individual
Full Name
Sherwood, Jeannine Marguerite
Title
Dr.
Credential
PHD, FNP, CWON

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/26/2023
Last Updated
4/22/2024

Contact Information

Practice Location

450 Clarkson Ave, Brooklyn, NY 11203-2012

(718) 270-3708

Unlisted Fax

Mailing Location

14724 229th St, Rosedale, NY 11413-4421

(718) 708-3076

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F352685-01 New York
Code 163WW0000X	Description Registered Nurse Nursing Service Providers	License 2005457062 New York
Code 163WX1500X	Description Registered Nurse Nursing Service Providers	License 2005464120 New York

Jeannine Marguerite Sherwood

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Fraser-Johnson, Jennelyn Velma

James, June

Eckert-Norton, Margaret Elise

Ifill, Rachelle

Mensah, Diana Attakora

Gelling, Maureen Catherine

Simpson, Fruma Ita

Wilson, Miriam Rebecca