Jennifer Rae Withers, RN in Gallup, NM - Medicare Registered Nurse

Jennifer Rae Withers, RN is a medicare enrolled "Registered Nurse" in Gallup, New Mexico. Her current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Jennifer Rae Withers is licensed to practice in Illinois (license number 041402463) 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 1841758802.

Contact Information

	Jennifer Rae Withers, RN
	516 E Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Rae Withers
Gender	Female
Speciality	Registered Nurse
Location	516 E Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841758802
Provider Enumeration Date: 03/08/2019
Last Update Date: 09/23/2020

Medicare PECOS Information:

PECOS PAC ID: 2365874740
Enrollment ID: I20191125000705

Medical Identifiers

Medical identifiers for Jennifer Rae Withers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841758802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209020422 (Illinois)	Secondary
163W00000X	Registered Nurse	041402463 (Illinois)	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 Rae Withers allows following entities to bill medicare on her behalf.

Entity Name	Illinois-indiana Em-i Medical Services S C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457503591 PECOS PAC ID: 3678487246 Enrollment ID: O20040326001003

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 Rae Withers 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 Rae Withers, RN 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000	Jennifer Rae Withers, RN 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000

Reviews and Comments

Registered Nurse Nurses in Gallup, NM

Mrs. Sandra L Skeets, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740
Jennifer Marie Moore, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Carisa Stelmat, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1790 Fax: 505-722-1487
Sally Catherine Kaufman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1310
Oluremi D Esuruoso, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-2100 Fax: 505-722-1310
Nancy Davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1310
Alice Smith, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1790

Jennifer Rae Withers, RN - Medicare Registered Nurse in Gallup, NM