Jennifer Louise Hennick, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tipton, California. Her current practice location is
575 N Thompson Rd, Tipton, California. You can reach out to her office (for appointments etc.) via phone at
(559) 752-4147.
Jennifer Louise Hennick is licensed to practice in California (license number 19991) 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 1083929541.
Provider's Profile
| Full Name | Jennifer Louise Hennick |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 575 N Thompson Rd, Tipton, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083929541
- Provider Enumeration Date: 08/09/2010
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537423843
- Enrollment ID: I20230124001117
Medical Identifiers
Medical identifiers for Jennifer Louise Hennick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083929541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 19991 (California) | 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 Louise Hennick allows following entities to bill medicare on her behalf.
| Entity Name | Tennessee Oncology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811955917
PECOS PAC ID: 4688586134
Enrollment ID: O20031103000534 |
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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. Jennifer Louise Hennick 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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Jennifer Louise Hennick, FNP
575 N Thompson Rd,
Tipton, CA 93272-9756
Ph: (559) 752-4147 | Jennifer Louise Hennick, FNP
575 N Thompson Rd,
Tipton, CA 93272-9756
Ph: (559) 752-4147 |
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