Rebecca Jean Beardsley (NPI# 1891138988, PAC ID# 9830419563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891138988 |
| PAC ID by PECOS | 9830419563 |
| Professional Enrollment ID | I20150521000089 |
| Full Name | Rebecca Jean Beardsley |
| Organization Legal Name | JERICHO ROAD MINISTRIES INC |
| Address |
1609 Genesee St Buffalo NY 14211-1616 |
| Phone Number | 7168922775 |
| Gender | F |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5597992933 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1609 Genesee St, Buffalo, NY 14211-1616 | 7168922775 | JERICHO ROAD MINISTRIES INC |
| 184 Barton St, Buffalo, NY 14213-1573 | 7163483000 | JERICHO ROAD MINISTRIES INC |
| Organization Legal Name | JERICHO ROAD MINISTRIES INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aung Ko Ko Thant | Family Medicine | Jericho Road Ministries Inc | 1021 Broadway St, Buffalo, NY 14212-1460 |
| Brendan Raleigh | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Dessialis Cruz | Physician Assistant | Jericho Road Ministries Inc | 184 Barton St, Buffalo, NY 14213-1573 |
| Myron L Glick | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| James Daniel Stoltzfus Jr. | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Allana Marie Krolikowski | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Colleen Quinn | Family Medicine | Jericho Road Ministries Inc | 1021 Broadway St, Buffalo, NY 14212-1460 |
| Takesha L Leonard | Nurse Practitioner | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Street Address |
1609 GENESEE ST |
| City | BUFFALO |
| State | NY |
| Zip | 14211-1616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brendan Raleigh | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Myron L Glick | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| James Daniel Stoltzfus Jr. | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Allana Marie Krolikowski | Family Medicine | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Takesha L Leonard | Nurse Practitioner | Jericho Road Ministries Inc | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Maya Bhattarai | Nurse Practitioner | Jericho Road Ministries | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Kirk Scirto | Family Practice | Jericho Road Ministries | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Katherine Elizabeth Fox | Nurse Practitioner | Jericho Road Ministries | 1609 Genesee St, Buffalo, NY 14211-1616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Gayles | Cardiovascular Disease (cardiology) | 840 Humboldt Pkwy, Buffalo, NY 14211-1217 | |
| Winston G Douglas | Internal Medicine | 840 Humboldt Pkwy, Buffalo, NY 14211-1217 | |
| Entela Pone | Rheumatology | 832 Walden Ave, Buffalo, NY 14211-2639 | |
| Miri Salamone-burnett | Clinical Social Worker | Catholic Charities of Buffalo | 20 Rich St, Buffalo, NY 14211-3020 |
| John U Napoli | Psychiatry | Catholic Charities of Buffalo | 20 Rich St, Buffalo, NY 14211-3020 |
| Diana J Page | Nurse Practitioner | Catholic Charities of Buffalo | 20 Rich St, Buffalo, NY 14211-3020 |
| Loida Reyes | Psychiatry | Catholic Charities of Buffalo | 20 Rich St, Buffalo, NY 14211-3020 |
| Susan Lankenau | Clinical Social Worker | Catholic Charities of Buffalo | 20 Rich St, Buffalo, NY 14211-3020 |
| City | BUFFALO |
| Zip Code | 14211 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BUFFALO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Rebecca Jean Beardsley.
| 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.