Dr Jennie G Byrd, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Pinole, California. Her current practice location is
2150 Appian Way, 100, Pinole, California. You can reach out to her office (for appointments etc.) via phone at
(707) 751-0878.
Dr Jennie G Byrd is licensed to practice in California (license number C40889) 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 1306891668.
Physician's Profile
| Full Name | Dr Jennie G Byrd |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2150 Appian Way, Pinole, California |
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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: 1306891668
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 07/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 2567425416
- Enrollment ID: I20041110001294
Medical Identifiers
Medical identifiers for Dr Jennie G Byrd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306891668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | C40889 (California) | 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 Jennie G Byrd allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Pain Management Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922198779
PECOS PAC ID: 0547252918
Enrollment ID: O20040402001211 |
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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 Jennie G Byrd 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 Jennie G Byrd, MD
2150 Appian Way, 100,
Pinole, CA 94564-2583
Ph: (707) 751-0878 | Dr Jennie G Byrd, MD
2150 Appian Way, 100,
Pinole, CA 94564
Ph: (707) 751-0878 |
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