Jenna M Mckenzie, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lake Ronkonkoma, New York. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advantagecare Physicians Pc and her current practice location is
640 Hawkins Ave, Lake Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 737-0100.
Jenna M Mckenzie is licensed to practice in New York (license number 340249) 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 1225412208.
Provider's Profile
| Full Name | Jenna M Mckenzie |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 640 Hawkins Ave, Lake Ronkonkoma, New York |
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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:
- Jenna M Mckenzie graduated from nursing school in 2016
NPI Data:
- NPI Number: 1225412208
- Provider Enumeration Date: 07/19/2015
- Last Update Date: 09/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 0941595920
- Enrollment ID: I20160830001741
Medical Identifiers
Medical identifiers for Jenna M Mckenzie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225412208 | NPI | - | NPPES |
| 00695941 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 661769 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 340249 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advantagecare Physicians Pc | 2365735008 | 318 |
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 M Mckenzie allows following entities to bill medicare on her behalf.
| Entity Name | Advantagecare Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336578772
PECOS PAC ID: 2365735008
Enrollment ID: O20160719000446 |
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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. Jenna M Mckenzie 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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Jenna M Mckenzie, FNP
55 Water Street, 2nd Floor Cred Dept,
New York, NY 10041-0004
Ph: (646) 680-2888 | Jenna M Mckenzie, FNP
640 Hawkins Ave,
Lake Ronkonkoma, NY 11779-2324
Ph: (631) 737-0100 |
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