Jenna Dibernardo, is a medicare enrolled "Nurse Practitioner - Family" physician in Cleveland, Ohio. Her current practice location is
9500 Euclid Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 444-2200.
Jenna Dibernardo is licensed to practice in Ohio (license number APRN.CNP.0033392) 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 1992405534.
Physician's Profile
| Full Name | Jenna Dibernardo |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 9500 Euclid Ave, Cleveland, 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: 1992405534
- Provider Enumeration Date: 03/02/2023
- Last Update Date: 03/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183081664
- Enrollment ID: I20230530001383
Medical Identifiers
Medical identifiers for Jenna Dibernardo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992405534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | APRN.CNP.0033392 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0033392 (Ohio) | 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. Jenna Dibernardo allows following entities to bill medicare on her behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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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. Jenna Dibernardo 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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Jenna Dibernardo,
1363 Brockley Ave,
Lakewood, OH 44107-2440
Ph: (424) 264-9299 | Jenna Dibernardo,
9500 Euclid Ave,
Cleveland, OH 44195-0002
Ph: (216) 444-2200 |
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