Dr Jennifer Xiao Chu, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Greenville, North Carolina. Her current practice location is
2100 Stantonsburg Rd, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 744-3961.
Dr Jennifer Xiao Chu is licensed to practice in * (Not Available) (license number ) 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 1639667298.
Physician's Profile
| Full Name | Dr Jennifer Xiao Chu |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2100 Stantonsburg Rd, 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: 1639667298
- Provider Enumeration Date: 04/28/2018
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648529701
- Enrollment ID: I20220831004021
Medical Identifiers
Medical identifiers for Dr Jennifer Xiao Chu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639667298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | H93329 (Maryland) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Xiao Chu allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308 |
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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 Xiao Chu 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 |
|---|
Dr Jennifer Xiao Chu, DO
2100 Stantonsburg Rd,
Greenville, NC 27834-2818
Ph: () - | Dr Jennifer Xiao Chu, DO
2100 Stantonsburg Rd,
Greenville, NC 27834-2818
Ph: (252) 744-3961 |
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