Jennifer W Small, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Fresh Meadows, New York. Her current practice location is
5916 174th St, Fresh Meadows, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 841-9256.
Jennifer W Small is licensed to practice in New York (license number 342248) 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 1619441748.
Physician's Profile
Full Name | Jennifer W Small |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 5916 174th St, Fresh Meadows, New York |
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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: 1619441748
- Provider Enumeration Date: 01/11/2019
- Last Update Date: 01/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365783958
- Enrollment ID: I20190409000514
Medical Identifiers
Medical identifiers for Jennifer W Small such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619441748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0214X | Pediatrics - Pediatric Pulmonology | F342248-1 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 342248 (New York) | 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 W Small allows following entities to bill medicare on her behalf.
Entity Name | New York Queens Medicine And Surgery, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 |
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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 W Small 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 W Small, FNP-BC 18706 Rome Dr, Saint Albans, NY 11412-2607 Ph: (917) 841-9256 | Jennifer W Small, FNP-BC 5916 174th St, Fresh Meadows, NY 11365-1539 Ph: (917) 841-9256 |
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