Jahne Bristow, is a medicare enrolled "Dentist - General Practice" provider in Delhi, New York. Her current practice location is
225 Phoebe Ln, Delhi, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 746-3555.
Jahne Bristow is licensed to practice in Pennsylvania (license number DS044000) 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 1942723523.
Healthcare Provider's Profile
| Full Name | Jahne Bristow |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 225 Phoebe Ln, Delhi, 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: 1942723523
- Provider Enumeration Date: 07/25/2017
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193074607
- Enrollment ID: I20180816001547
Medical Identifiers
Medical identifiers for Jahne Bristow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942723523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 10421 (Kentucky) | Secondary |
| 1223G0001X | Dentist - General Practice | DD4955 (New Mexico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | DS044000 (Pennsylvania) | 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. Jahne Bristow allows following entities to bill medicare on her behalf.
| Entity Name | El Centro Family Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780689034
PECOS PAC ID: 9830080688
Enrollment ID: O20100528000457 |
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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. Jahne Bristow 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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Jahne Bristow,
46 Berry Ln,
Wappingers Falls, NY 12590-4056
Ph: (845) 546-1550 | Jahne Bristow,
225 Phoebe Ln,
Delhi, NY 13753-3468
Ph: (607) 746-3555 |
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