Jennifer Fain, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Jacksonville, Florida. She graduated from healthcare school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mental Health Resource Center Inc and her current practice location is
3333 W 20th St, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 695-9145.
Jennifer Fain is licensed to practice in Florida (license number ARNP9464978) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710252234.
Healthcare Provider's Profile
| Full Name | Jennifer Fain |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 3333 W 20th St, Jacksonville, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer Fain graduated from medical school in 2017
NPI Data:
- NPI Number: 1710252234
- Provider Enumeration Date: 03/16/2012
- Last Update Date: 02/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799931457
- Enrollment ID: I20171221001007
Medical Identifiers
Medical identifiers for Jennifer Fain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710252234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 9464978 (Florida) | Secondary |
| 163W00000X | Registered Nurse | 170984 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 16095 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9464978 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP9464978 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mental Health Resource Center Inc | 2567446982 | 15 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Fain allows following entities to bill medicare on her behalf.
| Entity Name | Mental Health Resource Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851407365
PECOS PAC ID: 2567446982
Enrollment ID: O20040615000219 |
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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. Jennifer Fain 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 Address | Practice Location Address |
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Jennifer Fain, APRN, NP-C
Po Box 19249,
Jacksonville, FL 32245-9249
Ph: (904) 743-1883 | Jennifer Fain, APRN, NP-C
3333 W 20th St,
Jacksonville, FL 32254-1703
Ph: (904) 695-9145 |
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