Jenny Montgomery Miedema, RN, MSN, CPNP, NNPBC in Durham, NC

Jenny Montgomery Miedema, RN, MSN, CPNP, NNPBC is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Durham, North Carolina. Her current practice location is 5524 Hospital N, Box 100500 Medical Center, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 970-5721.

Jenny Montgomery Miedema is licensed to practice in North Carolina (license number 5005122) 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 1649541095.

Contact Information

	Jenny Montgomery Miedema, RN, MSN, CPNP, NNPBC
	5524 Hospital N, Box 100500 Medical Center, Durham, NC 27710-0001
	(919) 970-5721
	(919) 681-6065

Map and Direction

Provider's Profile

Full Name	Jenny Montgomery Miedema
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	5524 Hospital N, Durham, 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: 1649541095
Provider Enumeration Date: 01/17/2012
Last Update Date: 06/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1052536638
Enrollment ID: I20220713001361

Medical Identifiers

Medical identifiers for Jenny Montgomery Miedema such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649541095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	5005122 (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. Jenny Montgomery Miedema allows following entities to bill medicare on her behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

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. Jenny Montgomery Miedema 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
Jenny Montgomery Miedema, RN, MSN, CPNP, NNPBC 2424 Erwin Rd, Suite 504, Neonatology, Durham, NC 27705-3824 Ph: (919) 970-5721	Jenny Montgomery Miedema, RN, MSN, CPNP, NNPBC 5524 Hospital N, Box 100500 Medical Center, Durham, NC 27710-0001 Ph: (919) 970-5721

Reviews and Comments

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Mrs. Jaimie Ann Devine, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 W Main St Ste 18a, Durham, NC 27701 Phone: 888-663-6331
Priscila M Tomlin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8315 Morrell Ln, Durham, NC 27713 Phone: 919-491-4661
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Jenny Montgomery Miedema, RN, MSN, CPNP, NNPBC - Medicare Nurse Practitioner in Durham, NC