Dr Jennifer Kathleen Beatty-kwan, MD PHD is a medicare enrolled "Family Medicine" physician in Arizona City, Arizona. Her current practice location is
14574 S Sunland Gin Rd, Arizona City, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 387-5651.
Dr Jennifer Kathleen Beatty-kwan is licensed to practice in Arizona (license number 71124) 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 1225862402.
Physician's Profile
| Full Name | Dr Jennifer Kathleen Beatty-kwan |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 14574 S Sunland Gin Rd, Arizona City, Arizona |
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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: 1225862402
- Provider Enumeration Date: 08/29/2024
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709327638
- Enrollment ID: I20240919000973
Medical Identifiers
Medical identifiers for Dr Jennifer Kathleen Beatty-kwan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225862402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 71124 (Arizona) | 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 Jennifer Kathleen Beatty-kwan allows following entities to bill medicare on her behalf.
| Entity Name | Ajo Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114037496
PECOS PAC ID: 3476441866
Enrollment ID: O20040308000777 |
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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 Kathleen Beatty-kwan 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 Kathleen Beatty-kwan, MD PHD
410 N Malacate St,
Ajo, AZ 85321-2254
Ph: (520) 387-5651 | Dr Jennifer Kathleen Beatty-kwan, MD PHD
14574 S Sunland Gin Rd,
Arizona City, AZ 85123
Ph: (520) 387-5651 |
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