Ms Jennifer Sheridan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Huntsville, Alabama. Her current practice location is
2139 Winchester Rd Ne, Huntsville, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 489-9015.
Ms Jennifer Sheridan is licensed to practice in Alabama (license number 1-172258) 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 1730947250.
Physician's Profile
Full Name | Ms Jennifer Sheridan |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2139 Winchester Rd Ne, Huntsville, Alabama |
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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: 1730947250
- Provider Enumeration Date: 03/08/2024
- Last Update Date: 03/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860830239
- Enrollment ID: I20240404000049
Medical Identifiers
Medical identifiers for Ms Jennifer Sheridan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730947250 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 1-172258 (Alabama) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1-172258 (Alabama) | 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. Ms Jennifer Sheridan allows following entities to bill medicare on her behalf.
Entity Name | Crestwood Physician Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154622520 PECOS PAC ID: 3476735648 Enrollment ID: O20110309000303 |
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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. Ms Jennifer Sheridan 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 |
Ms Jennifer Sheridan, FNP-C 2139 Winchester Rd Ne, Huntsville, AL 35811-9803 Ph: (256) 489-9015 | Ms Jennifer Sheridan, FNP-C 2139 Winchester Rd Ne, Huntsville, AL 35811-9803 Ph: (256) 489-9015 |
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