Jennifer L Connell, NP is a medicare enrolled "Nurse Practitioner - Neonatal" physician in Indianapolis, Indiana. Her current practice location is
720 Eskenazi Ave, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 880-7666.
Jennifer L Connell is licensed to practice in Indiana (license number 71006269A) 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 1366892192.
Physician's Profile
Full Name | Jennifer L Connell |
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Gender | Female |
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Speciality | Nurse Practitioner - Neonatal |
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Location | 720 Eskenazi Ave, Indianapolis, Indiana |
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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: 1366892192
- Provider Enumeration Date: 06/13/2016
- Last Update Date: 09/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547546574
- Enrollment ID: I20170405002620
Medical Identifiers
Medical identifiers for Jennifer L Connell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366892192 | NPI | - | NPPES |
201397910 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 28145107 (Indiana) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 71006269 (Indiana) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | 71006269A (Indiana) | 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 L Connell allows following entities to bill medicare on her behalf.
Entity Name | Arnett Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
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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 L Connell 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 L Connell, NP Po Box 1026, Indianapolis, IN 46206-1026 Ph: (317) 777-6435 | Jennifer L Connell, NP 720 Eskenazi Ave, Indianapolis, IN 46202-5187 Ph: (317) 880-7666 |
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