Jennifer Pearl Krohn, MMSC, PA, RDN, CDE is a medicare enrolled "Physician Assistant" provider in Van Nuys, California. Her current practice location is
14649 Victory Blvd Ste 20, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at
(818) 786-8396.
Jennifer Pearl Krohn is licensed to practice in California (license number 61392) 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 1336395037.
Healthcare Provider's Profile
Full Name | Jennifer Pearl Krohn |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 14649 Victory Blvd Ste 20, Van Nuys, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336395037
- Provider Enumeration Date: 08/13/2008
- Last Update Date: 11/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496121592
- Enrollment ID: I20221014000452
Medical Identifiers
Medical identifiers for Jennifer Pearl Krohn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336395037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 975454 (California) | Secondary |
363A00000X | Physician Assistant | 61392 (California) | 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. Jennifer Pearl Krohn 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 |
Jennifer Pearl Krohn, MMSC, PA, RDN, CDE 14649 Victory Blvd Ste 20, Van Nuys, CA 91411-4101 Ph: (818) 786-8396 | Jennifer Pearl Krohn, MMSC, PA, RDN, CDE 14649 Victory Blvd Ste 20, Van Nuys, CA 91411-4101 Ph: (818) 786-8396 |
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