Jennifer Kanaly, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Peru, New York. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Citizen Advocates, Inc and her current practice location is
287 John Boswell Rd, Peru, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 420-2073.
Jennifer Kanaly is licensed to practice in New York (license number 40 401976) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780045724.
Provider's Profile
| Full Name | Jennifer Kanaly |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 10 Years |
|---|
| Location | 287 John Boswell Rd, Peru, New York |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Jennifer Kanaly graduated from nursing school in 2015
NPI Data:
- NPI Number: 1780045724
- Provider Enumeration Date: 03/18/2016
- Last Update Date: 09/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 7214228451
- Enrollment ID: I20160620001354
Medical Identifiers
Medical identifiers for Jennifer Kanaly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780045724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 401976 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 40 401976 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Citizen Advocates, Inc | 0648241976 | 34 |
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 Kanaly allows following entities to bill medicare on her behalf.
| Entity Name | Citizen Advocates, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780619064
PECOS PAC ID: 0648241976
Enrollment ID: O20040802001031 |
|---|
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 Kanaly 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 Kanaly,
75 Beekman St,
Plattsburgh, NY 12901-1438
Ph: (518) 562-7790 | Jennifer Kanaly,
287 John Boswell Rd,
Peru, NY 12972
Ph: (518) 420-2073 |
Reviews and Comments