Jenna Rae Lillemoe, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in S Weymouth, Massachusetts. Her current practice location is
55 Fogg Rd, S Weymouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 624-8000.
Jenna Rae Lillemoe is licensed to practice in Massachusetts (license number 282516) 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 1538689781.
Physician's Profile
Full Name | Jenna Rae Lillemoe |
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Gender | Female |
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Speciality | Emergency Medicine - Pediatric Emergency Medicine |
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Location | 55 Fogg Rd, S Weymouth, Massachusetts |
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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: 1538689781
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 07/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355615311
- Enrollment ID: I20200706000923
Medical Identifiers
Medical identifiers for Jenna Rae Lillemoe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538689781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 282516 (Massachusetts) | 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 Rae Lillemoe allows following entities to bill medicare on her behalf.
Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
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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 Rae Lillemoe 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 |
Jenna Rae Lillemoe, MD 55 Fogg Rd, S Weymouth, MA 02190-2432 Ph: (781) 624-8000 | Jenna Rae Lillemoe, MD 55 Fogg Rd, S Weymouth, MA 02190-2432 Ph: (781) 624-8000 |
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