Jeanean D Small, NP - Medicare Nurse Practitioner in Fairlawn, OH

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Jeanean D Small, NP is a medicare enrolled "Nurse Practitioner - Family" in Fairlawn, Ohio. Her current practice location is 55 Shiawassee Ave Ste 10g, Fairlawn, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 286-4011.

Jeanean D Small is licensed to practice in Ohio (license number 0030067) 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 1245702208.

Contact Information

Jeanean D Small, NP
55 Shiawassee Ave Ste 10g,
Fairlawn, OH 44333-3700
(330) 286-4011
(330) 286-4011

Map and Direction




Provider's Profile

Full NameJeanean D Small
GenderFemale
SpecialityNurse Practitioner - Family
Location55 Shiawassee Ave Ste 10g, Fairlawn, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245702208
  • Provider Enumeration Date: 12/31/2018
  • Last Update Date: 09/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072999093
  • Enrollment ID: I20220928003201

Medical Identifiers

Medical identifiers for Jeanean D Small such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245702208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN.410483 (Ohio)Secondary
363LF0000XNurse Practitioner - Family 0030067 (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. Jeanean D Small allows following entities to bill medicare on her behalf.
Entity NameQuick Med Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528528726
PECOS PAC ID: 5799016358
Enrollment ID: O20191011001731

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. Jeanean D 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 AddressPractice Location Address
Jeanean D Small, NP
55 Shiawassee Ave Ste 10g,
Fairlawn, OH 44333-3700

Ph: (330) 286-4011		Jeanean D Small, NP
55 Shiawassee Ave Ste 10g,
Fairlawn, OH 44333-3700

Ph: (330) 286-4011

Reviews and Comments


Nurse Practitioner Nurses in Fairlawn, OH

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Mrs. Maggie Kristine Marcin, C.N.P.
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Phone: 216-286-6373    
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Practice Location: 3634 W Market St Ste 104, Fairlawn, OH 44333
Phone: 855-930-5810    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.