Jack Chitenje, in Fishers, IN - Medicare Nurse Practitioner

Jack Chitenje, is a medicare enrolled "Nurse Practitioner - Gerontology" in Fishers, Indiana. His current practice location is 13914 Boulder Canyon Dr, Fishers, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 210-9966.

Jack Chitenje is licensed to practice in Indiana (license number PENDING) 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 1598327009.

Contact Information

	Jack Chitenje,
	13914 Boulder Canyon Dr, Fishers, IN 46038-5361
	(574) 210-9966
	Not Available

Map and Direction

Provider's Profile

Full Name	Jack Chitenje
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	13914 Boulder Canyon Dr, Fishers, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598327009
Provider Enumeration Date: 07/03/2019
Last Update Date: 07/03/2019

Medicare PECOS Information:

PECOS PAC ID: 7911331913
Enrollment ID: I20191230000054

Medical Identifiers

Medical identifiers for Jack Chitenje such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598327009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	PENDING (Indiana)	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. Jack Chitenje allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552

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. Jack Chitenje 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
Jack Chitenje, 13914 Boulder Canyon Dr, Fishers, IN 46038-5361 Ph: (574) 210-9966	Jack Chitenje, 13914 Boulder Canyon Dr, Fishers, IN 46038-5361 Ph: (574) 210-9966

Reviews and Comments

Nurse Practitioner Nurses in Fishers, IN

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Nieasha Lanise Richardson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9894 E 121st St, Fishers, IN 46037 Phone: 317-621-2273 Fax: 317-806-1653
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Sarah Jayroe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8890 E 116th St Ste 130, Fishers, IN 46038 Phone: 317-621-7030

Jack Chitenje, - Medicare Nurse Practitioner in Fishers, IN