Tara Jennings, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Camden, New Jersey. Her current practice location is
2 Cooper Plz, Camden, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(855) 632-2667.
Tara Jennings is licensed to practice in New Jersey (license number 25MA11955300) 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 1932661287.
Physician's Profile
| Full Name | Tara Jennings |
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| Gender | Female |
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| Speciality | Dermatology - Procedural Dermatology |
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| Location | 2 Cooper Plz, Camden, New Jersey |
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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: 1932661287
- Provider Enumeration Date: 04/04/2019
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305173402
- Enrollment ID: I20240816001665
Medical Identifiers
Medical identifiers for Tara Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932661287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NS0135X | Dermatology - Procedural Dermatology | 25MA11955300 (New Jersey) | 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. Tara Jennings allows following entities to bill medicare on her behalf.
| Entity Name | Cmc Dept Of Medicine Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386682094
PECOS PAC ID: 2163335878
Enrollment ID: O20050104000343 |
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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. Tara 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 |
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Tara Jennings, MD
1 Federal St Ste 200,
Camden, NJ 08103-1088
Ph: (848) 288-6935 | Tara Jennings, MD
2 Cooper Plz,
Camden, NJ 08103-1461
Ph: (855) 632-2667 |
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