Dr Jessica Barenboim, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Albany, New York. Her current practice location is
350 Northern Blvd Ste 324-1281, Albany, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 450-7645.
Dr Jessica Barenboim is licensed to practice in Connecticut (license number 70445) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750743092.
Healthcare Provider's Profile
| Full Name | Dr Jessica Barenboim |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 350 Northern Blvd Ste 324-1281, Albany, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750743092
- Provider Enumeration Date: 03/25/2016
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305183799
- Enrollment ID: I20190123001969
Medical Identifiers
Medical identifiers for Dr Jessica Barenboim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750743092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 307677 (New York) | Secondary |
| 208D00000X | General Practice | 307677 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 63687 (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 70445 (Connecticut) | Primary |
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. Dr Jessica Barenboim 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 |
|---|
Dr Jessica Barenboim, MD
350 Northern Blvd Ste 324-1281,
Albany, NY 12204-1000
Ph: (646) 450-7645 | Dr Jessica Barenboim, MD
350 Northern Blvd Ste 324-1281,
Albany, NY 12204-1000
Ph: (646) 450-7645 |
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