Jenale Larae King, is a medicare enrolled "Nurse Practitioner - Family" in Dolton, Illinois. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Telemedico Physicians Sc and her current practice location is
14813 Oak St, Dolton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 587-6435.
Jenale Larae King is licensed to practice in Illinois (license number 209017087) 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 1619518370.
Provider's Profile
| Full Name | Jenale Larae King |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 14813 Oak St, Dolton, Illinois |
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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:
- Jenale Larae King graduated from nursing school in 2014
NPI Data:
- NPI Number: 1619518370
- Provider Enumeration Date: 10/03/2019
- Last Update Date: 10/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 7113258492
- Enrollment ID: I20191017002177
Medical Identifiers
Medical identifiers for Jenale Larae King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619518370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209017087 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Telemedico Physicians Sc | 6901103647 | 14 |
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. Jenale Larae King allows following entities to bill medicare on her behalf.
| Entity Name | Telemedico Physicians Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912368150
PECOS PAC ID: 6901103647
Enrollment ID: O20160324000859 |
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| Entity Name | Molina Care Connections Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180301000229 |
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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. Jenale Larae King 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 |
|---|
Jenale Larae King,
14813 Oak St,
Dolton, IL 60419-2609
Ph: (773) 587-6435 | Jenale Larae King,
14813 Oak St,
Dolton, IL 60419-2609
Ph: (773) 587-6435 |
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