Matthew S Jennings, MD is a medicare enrolled "Pediatrics" physician in Madison, Ohio. His current practice location is
6270 North Ridge Road, Madison, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 428-6225.
Matthew S Jennings is licensed to practice in Ohio (license number 35-081271) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891801148.
Physician's Profile
Full Name | Matthew S Jennings |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 6270 North Ridge Road, Madison, Ohio |
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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: 1891801148
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 03/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961501457
- Enrollment ID: I20070625000376
Medical Identifiers
Medical identifiers for Matthew S Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891801148 | NPI | - | NPPES |
2399177 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 35-081271 (Ohio) | 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. Matthew S Jennings allows following entities to bill medicare on his behalf.
Entity Name | Lake Hospital System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
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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. Matthew S Jennings 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 |
Matthew S Jennings, MD Po Box 714328, Columbus, OH 43271-4328 Ph: (800) 354-1985 | Matthew S Jennings, MD 6270 North Ridge Road, Madison, OH 44057 Ph: (440) 428-6225 |
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