Jeanette Sylvester Mann, is a medicare enrolled "Nurse Practitioner - Family" in Raphine, Virginia. Her current practice location is
25 Commerce Park Dr, Raphine, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 490-2527.
Jeanette Sylvester Mann is licensed to practice in Virginia (license number 0024179838) 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 1417569229.
Provider's Profile
| Full Name | Jeanette Sylvester Mann |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 25 Commerce Park Dr, Raphine, Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1417569229
- Provider Enumeration Date: 08/21/2020
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123438561
- Enrollment ID: I20201113001069
Medical Identifiers
Medical identifiers for Jeanette Sylvester Mann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417569229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 0024179838 (Virginia) | 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. Jeanette Sylvester Mann allows following entities to bill medicare on her behalf.
| Entity Name | Privia Medical Group Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011 |
|---|
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. Jeanette Sylvester Mann 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 |
|---|
Jeanette Sylvester Mann,
111 Maple Ln,
Covington, VA 24426-6115
Ph: (540) 998-0633 | Jeanette Sylvester Mann,
25 Commerce Park Dr,
Raphine, VA 24472-2547
Ph: (540) 490-2527 |
Reviews and Comments