Dr John L Jennings Jr, MD is a medicare enrolled "Dermatology" physician in Goldsboro, North Carolina. His current practice location is
2613 Hospital Rd, Goldsboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 736-0222.
Dr John L Jennings Jr is licensed to practice in North Carolina (license number 27212) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891776753.
Physician's Profile
Full Name | Dr John L Jennings Jr |
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Gender | Male |
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Speciality | Dermatology |
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Location | 2613 Hospital Rd, Goldsboro, 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. |
NPI Data:
- NPI Number: 1891776753
- Provider Enumeration Date: 11/08/2005
- Last Update Date: 02/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 0244387454
- Enrollment ID: I20090403000482
Medical Identifiers
Medical identifiers for Dr John L Jennings Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891776753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0900X | Dermatology - Dermatopathology | 27212 (North Carolina) | Secondary |
207NS0135X | Dermatology - Procedural Dermatology | 27212 (North Carolina) | Secondary |
207N00000X | Dermatology | 27212 (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. Dr John L Jennings Jr allows following entities to bill medicare on his behalf.
Entity Name | Forefront Dermatology Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326532169 PECOS PAC ID: 3779471701 Enrollment ID: O20180821002003 |
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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 John L Jennings Jr 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 John L Jennings Jr, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr John L Jennings Jr, MD 2613 Hospital Rd, Goldsboro, NC 27534 Ph: (919) 736-0222 |
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