Jill Jennings, RD, LDN is a medicare enrolled "Nutritionist" provider in Greenville, North Carolina. Her current practice location is
101 Heart Dr, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 744-4611.
Jill Jennings is licensed to practice in North Carolina (license number L004169) 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 1073944252.
Healthcare Provider's Profile
| Full Name | Jill Jennings |
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| Gender | Female |
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| Speciality | Nutritionist |
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| Location | 101 Heart Dr, Greenville, North Carolina |
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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: 1073944252
- Provider Enumeration Date: 12/12/2013
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678703915
- Enrollment ID: I20140305001790
Medical Identifiers
Medical identifiers for Jill Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073944252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | L004169 (North Carolina) | Secondary |
| 133N00000X | Nutritionist | L004169 (North 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. Jill Jennings allows following entities to bill medicare on her behalf.
| Provider Name | East Carolina University |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1972551919
PECOS PAC ID: 0244143246
Enrollment ID: O20031106000400 |
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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. Jill Jennings 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 |
|---|
Jill Jennings, RD, LDN
Po Box 751069,
Charlotte, NC 28275-1069
Ph: () - | Jill Jennings, RD, LDN
101 Heart Dr,
Greenville, NC 27834-8982
Ph: (252) 744-4611 |
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