Dr Jenni Marie O'malley, DMD in Kingsport, TN

Dr Jenni Marie O'malley, DMD is a medicare enrolled "Dentist" provider in Kingsport, Tennessee. Her current practice location is 1105 W Stone Dr Ste 5, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-5697.

Dr Jenni Marie O'malley is licensed to practice in South Carolina (license number 8896) 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 1609144997.

Contact Information

	Dr Jenni Marie O'malley, DMD
	1105 W Stone Dr Ste 5, Kingsport, TN 37660-2558
	(423) 224-5697
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jenni Marie O'malley
Gender	Female
Speciality	Dentist
Location	1105 W Stone Dr Ste 5, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609144997
Provider Enumeration Date: 12/01/2011
Last Update Date: 10/27/2021

Medicare PECOS Information:

PECOS PAC ID: 4183987613
Enrollment ID: I20180417000318

Medical Identifiers

Medical identifiers for Dr Jenni Marie O'malley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609144997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	27456 (Texas)	Secondary
122300000X	Dentist	11246 (Tennessee)	Secondary
122300000X	Dentist	21809 (Florida)	Secondary
1223G0001X	Dentist - General Practice	27456 (Texas)	Secondary
122300000X	Dentist	8896 (South Carolina)	Primary

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. Dr Jenni Marie O'malley allows following entities to bill medicare on her behalf.

Entity Name	Beaufort Jasper Hampton Comprehensive Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262

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 Jenni Marie O'malley 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 Jenni Marie O'malley, DMD 1374 Cattail Pt, Johnson City, TN 37601-9404 Ph: (407) 791-7997	Dr Jenni Marie O'malley, DMD 1105 W Stone Dr Ste 5, Kingsport, TN 37660-2558 Ph: (423) 224-5697

Reviews and Comments

Dentist in Kingsport, TN

Dr. Mark E Morison, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1258 E Center St, Kingsport, TN 37660 Phone: 423-247-3171 Fax: 423-247-3172
Dr. John Alan Smith, D.D.S.,P.C. Dentist Medicare: Medicare Enrolled Practice Location: 1599 Fort Henry Dr, Ste. 103, Kingsport, TN 37664 Phone: 423-247-7821 Fax: 423-247-2156
Mark D. Buchanan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1420 E Stone Dr, Suite G, Kingsport, TN 37660 Phone: 423-247-6961 Fax: 423-247-5552
Dr. John R Collins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 117 W Sevier Ave, Suite 220, Kingsport, TN 37660 Phone: 423-224-3200 Fax: 423-224-3208
Dr. Rebecca Vestal, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2105 E Center St, Suite D, Kingsport, TN 37664 Phone: 423-247-2431 Fax: 423-247-3907
Courtney Lahatte Blankenship, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 116 Jack White Dr Ste 12, Kingsport, TN 37664 Phone: 423-247-6961
Thomas P King, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 909 North Wilcox Drive, Suite B, Kingsport, TN 37660 Phone: 423-378-3222 Fax: 423-378-5275

Dr Jenni Marie O'malley, DMD - Medicare Dentist in Kingsport, TN