Jennifer A Pumphrey, MD is a medicare enrolled "Pediatrics" physician in Kingwood, West Virginia. Her current practice location is
150 Memorial Dr, Kingwood, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 329-1400.
Jennifer A Pumphrey is licensed to practice in West Virginia (license number 20737) 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 1114041803.
Physician's Profile
Full Name | Jennifer A Pumphrey |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 150 Memorial Dr, Kingwood, West Virginia |
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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: 1114041803
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 05/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 9133174972
- Enrollment ID: I20050315000533
Medical Identifiers
Medical identifiers for Jennifer A Pumphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114041803 | NPI | - | NPPES |
1840388000 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 20737 (West Virginia) | 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. Jennifer A Pumphrey allows following entities to bill medicare on her behalf.
Entity Name | Preston Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841230661 PECOS PAC ID: 5294645107 Enrollment ID: O20040609000164 |
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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. Jennifer A Pumphrey 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 |
Jennifer A Pumphrey, MD 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 329-1400 | Jennifer A Pumphrey, MD 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 329-1400 |
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