Dr Jennifer Dawn Bahner, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Brunswick, Ohio. Her current practice location is
4065 Center Rd, Ste 214, Brunswick, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 844-8200.
Dr Jennifer Dawn Bahner is licensed to practice in Ohio (license number 57-012117) 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 1952519043.
Physician's Profile
| Full Name | Dr Jennifer Dawn Bahner |
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| Gender | Female |
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| Speciality | Dermatology - Procedural Dermatology |
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| Location | 4065 Center Rd, Brunswick, Ohio |
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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: 1952519043
- Provider Enumeration Date: 05/20/2007
- Last Update Date: 11/12/2015
Medicare PECOS Information:
- PECOS PAC ID: 2062637697
- Enrollment ID: I20140715001492
Medical Identifiers
Medical identifiers for Dr Jennifer Dawn Bahner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952519043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 57.012117 (Ohio) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 57-012117 (Ohio) | Primary |
| 207N00000X | Dermatology | 57-012117 (Ohio) | Secondary |
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 Jennifer Dawn Bahner allows following entities to bill medicare on her behalf.
| Entity Name | Apex Dermatology And Skin Surgery Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689973638
PECOS PAC ID: 1052589777
Enrollment ID: O20110725000647 |
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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 Jennifer Dawn Bahner 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 Jennifer Dawn Bahner, MD
Po Box 8792,
Belfast, ME 04915-8792
Ph: (216) 383-0100 | Dr Jennifer Dawn Bahner, MD
4065 Center Rd, Ste 214,
Brunswick, OH 44212-2918
Ph: (216) 844-8200 |
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