Jennifer Susan Mcnichol, MD is a medicare enrolled "Pediatrics" physician in Sitka, Alaska. Her current practice location is
222 Tongass Dr, Sitka, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 966-2411.
Jennifer Susan Mcnichol is licensed to practice in Alaska (license number 3716) 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 1780897405.
Physician's Profile
| Full Name | Jennifer Susan Mcnichol |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 222 Tongass Dr, Sitka, Alaska |
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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: 1780897405
- Provider Enumeration Date: 05/08/2007
- Last Update Date: 10/19/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315972585
- Enrollment ID: I20050927001257
Medical Identifiers
Medical identifiers for Jennifer Susan Mcnichol such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780897405 | NPI | - | NPPES |
| MD3716 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 3716 (Alaska) | 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 Susan Mcnichol allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Alaska Regional Health Consortium |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376758037
PECOS PAC ID: 1456265362
Enrollment ID: O20031114000631 |
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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 Susan Mcnichol 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 Susan Mcnichol, MD
222 Tongass Dr,
Sitka, AK 99835-9416
Ph: (907) 966-2411 | Jennifer Susan Mcnichol, MD
222 Tongass Dr,
Sitka, AK 99835-9416
Ph: (907) 966-2411 |
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