Jenna Connolly, FNP-BC in North Andover, MA - Medicare Nurse Practitioner

Jenna Connolly, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in North Andover, Massachusetts. Her current practice location is 231 Sutton St Ste 1d, North Andover, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 686-3877.

Jenna Connolly is licensed to practice in Massachusetts (license number RN2313074) 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 1710676879.

Contact Information

	Jenna Connolly, FNP-BC
	231 Sutton St Ste 1d, North Andover, MA 01845-1620
	(978) 686-3877
	(978) 975-9586

Map and Direction

Provider's Profile

Full Name	Jenna Connolly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	231 Sutton St Ste 1d, North Andover, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710676879
Provider Enumeration Date: 05/04/2023
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 2860848603
Enrollment ID: I20231030003634

Medical Identifiers

Medical identifiers for Jenna Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710676879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN2313074 (Massachusetts)	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. Jenna Connolly allows following entities to bill medicare on her behalf.

Entity Name	Northeast Urologic Surgery, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053361352 PECOS PAC ID: 9638154016 Enrollment ID: O20080228000145

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. Jenna Connolly 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
Jenna Connolly, FNP-BC 180 Green St Apt 409, Melrose, MA 02176-1939 Ph: (240) 535-8803	Jenna Connolly, FNP-BC 231 Sutton St Ste 1d, North Andover, MA 01845-1620 Ph: (978) 686-3877

Reviews and Comments

Nurse Practitioner Nurses in North Andover, MA

Michelle Nelson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 Andover St Ste 110, North Andover, MA 01845 Phone: 978-794-2000
Teresa Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 790 Turnpike St Ste 300, North Andover, MA 01845 Phone: 978-687-2273
Dianna Gormley, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 Turnpike St, North Andover, MA 01845 Phone: 978-683-4299
Diana Dion, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 Turnpike St, Suite 11, North Andover, MA 01845 Phone: 978-794-1946 Fax: 978-975-3925
Michael Gibbons, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 High St Ste 213, North Andover, MA 01845 Phone: 617-529-8170 Fax: 978-228-0126
Tiffany Rhodes, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 Andover St Ste 110, North Andover, MA 01845 Phone: 978-794-2000
Courtney L Betts, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 47 High St, Suite 101, North Andover, MA 01845 Phone: 978-985-2460

Jenna Connolly, FNP-BC - Medicare Nurse Practitioner in North Andover, MA