Dr Jinaki Kianga Stallworth, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in New, New York. Her current practice location is
133 Morningside Ave, New, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 923-7212.
Dr Jinaki Kianga Stallworth is licensed to practice in New York (license number 056036) 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 1871804740.
Healthcare Provider's Profile
| Full Name | Dr Jinaki Kianga Stallworth |
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| Gender | Female |
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| Speciality | Dentist - Pediatric Dentistry |
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| Location | 133 Morningside Ave, New, 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: 1871804740
- Provider Enumeration Date: 06/25/2010
- Last Update Date: 02/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 5597998211
- Enrollment ID: I20140505001430
Medical Identifiers
Medical identifiers for Dr Jinaki Kianga Stallworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871804740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223P0221X | Dentist - Pediatric Dentistry | 056036 (New York) | 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 Jinaki Kianga Stallworth allows following entities to bill medicare on her behalf.
| Entity Name | Harlem Medical Associates, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487957692
PECOS PAC ID: 9335321223
Enrollment ID: O20110315000005 |
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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. Dr Jinaki Kianga Stallworth 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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Dr Jinaki Kianga Stallworth, DDS
2111 5th Ave Apt 1,
New York, NY 10035-1032
Ph: (850) 321-7411 | Dr Jinaki Kianga Stallworth, DDS
133 Morningside Ave,
New, NY 10030
Ph: (212) 923-7212 |
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