Jeannette R Humphrey, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mount Hope, West Virginia. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Md Now Medical Centers Inc and her current practice location is
478 Blake Hollow Rd, Mount Hope, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 877-6592.
Jeannette R Humphrey is licensed to practice in West Virginia (license number 60610) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407198377.
Provider's Profile
| Full Name | Jeannette R Humphrey |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 478 Blake Hollow Rd, Mount Hope, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeannette R Humphrey graduated from nursing school in 2012
NPI Data:
- NPI Number: 1407198377
- Provider Enumeration Date: 03/19/2013
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820236920
- Enrollment ID: I20211202001687
Medical Identifiers
Medical identifiers for Jeannette R Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407198377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 60610 (West Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Md Now Medical Centers Inc | 3971554825 | 307 |
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. Jeannette R Humphrey allows following entities to bill medicare on her behalf.
| Entity Name | Dwic Of Tampa Bay Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780633834
PECOS PAC ID: 3779573167
Enrollment ID: O20040517001035 |
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| Entity Name | Md Now Medical Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033195474
PECOS PAC ID: 3971554825
Enrollment ID: O20050208000625 |
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| Entity Name | Medexpress Urgent Care Of Boynton Beach, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366544728
PECOS PAC ID: 7517980832
Enrollment ID: O20060112000219 |
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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. Jeannette R Humphrey 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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Jeannette R Humphrey, FNP
478 Blake Hollow Rd,
Mount Hope, WV 25880-6556
Ph: (304) 877-6592 | Jeannette R Humphrey, FNP
478 Blake Hollow Rd,
Mount Hope, WV 25880-6556
Ph: (304) 877-6592 |
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