Jenna Lee Dubruiel, PA is a medicare enrolled "Physician Assistant" in Dyer, Tennessee. Her current practice location is
1123 N Main St, Dyer, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 692-2853.
Jenna Lee Dubruiel is licensed to practice in Tennessee (license number 2166) 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 1114281748.
Provider's Profile
Full Name | Jenna Lee Dubruiel |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1123 N Main St, Dyer, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114281748
- Provider Enumeration Date: 06/28/2012
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294982526
- Enrollment ID: I20120821001098
Medical Identifiers
Medical identifiers for Jenna Lee Dubruiel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114281748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2166 (Tennessee) | Primary |
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 Lee Dubruiel 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 Lee Dubruiel, PA 1123 N Main St, Dyer, TN 38330-1019 Ph: (731) 692-2853 | Jenna Lee Dubruiel, PA 1123 N Main St, Dyer, TN 38330-1019 Ph: (731) 692-2853 |
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