Mrs Jennifer Ealy, MS is a
Case Manager/care Coordinator based in Memphis, Tennessee. Mrs Jennifer Ealy is licensed to practice in * (Not Available) (license number ) and her current practice location is
696 Jackson Ave, Memphis, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(901) 260-9124.
NPI number for Mrs Jennifer Ealy is 1285130476 and her current mailing address is 449 Ericson St, Southaven, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285130476.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Ealy |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 696 Jackson Ave, Memphis, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285130476
- Provider Enumeration Date: 04/05/2018
- Last Update Date: 04/05/2018
Medical Identifiers
Medical identifiers for Mrs Jennifer Ealy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285130476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Mrs Jennifer Ealy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jennifer Ealy, MS 449 Ericson St, Southaven, MS 38672-7071 Ph: (763) 242-1095 | Mrs Jennifer Ealy, MS 696 Jackson Ave, Memphis, TN 38105-2006 Ph: (901) 260-9124 |
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