Jennifer Crystal Kleean, in Winston Salem, NC

Jennifer Crystal Kleean, is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. Her current practice location is 1351 Westgate Center Dr, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 718-7777.

Jennifer Crystal Kleean is licensed to practice in North Carolina (license number 5011919) 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 1619538568.

Contact Information

	Jennifer Crystal Kleean,
	1351 Westgate Center Dr, Winston Salem, NC 27103-2934
	(336) 718-7777
	(336) 718-7744

Map and Direction

Provider's Profile

Full Name	Jennifer Crystal Kleean
Gender	Female
Speciality	Nurse Practitioner
Location	1351 Westgate Center Dr, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619538568
Provider Enumeration Date: 06/21/2019
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 9234461351
Enrollment ID: I20191023000016

Medical Identifiers

Medical identifiers for Jennifer Crystal Kleean such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619538568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5011919 (North Carolina)	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. Jennifer Crystal Kleean allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Jennifer Crystal Kleean 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
Jennifer Crystal Kleean, Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Jennifer Crystal Kleean, 1351 Westgate Center Dr, Winston Salem, NC 27103-2934 Ph: (336) 718-7777

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Jennifer Crystal Kleean, - Medicare Nurse Practitioner in Winston Salem, NC