Mrs Jenna Mae Labombard, RN in Hazel Park, MI

Mrs Jenna Mae Labombard, RN is a medicare enrolled "Registered Nurse" in Hazel Park, Michigan. Her current practice location is 350 Jeff Keeton Drive, Hazel Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (518) 353-9745.

Mrs Jenna Mae Labombard is licensed to practice in Michigan (license number 4704380129) 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 1760152243.

Contact Information

	Mrs Jenna Mae Labombard, RN
	350 Jeff Keeton Drive, Hazel Park, MI 48030
	(518) 353-9745
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jenna Mae Labombard
Gender	Female
Speciality	Registered Nurse
Location	350 Jeff Keeton Drive, Hazel Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760152243
Provider Enumeration Date: 09/16/2021
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9830622604
Enrollment ID: I20241031003071

Medical Identifiers

Medical identifiers for Mrs Jenna Mae Labombard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760152243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704380129 (Michigan)	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. Mrs Jenna Mae Labombard allows following entities to bill medicare on her behalf.

Entity Name	Northstar Anesthesia Of Michigan Iii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990

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. Mrs Jenna Mae Labombard 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
Mrs Jenna Mae Labombard, RN 350 Jeff Keeton Drive, Hazel Park, MI 48030 Ph: (518) 353-9745	Mrs Jenna Mae Labombard, RN 350 Jeff Keeton Drive, Hazel Park, MI 48030 Ph: (518) 353-9745

Reviews and Comments

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Mrs Jenna Mae Labombard, RN - Medicare Registered Nurse in Hazel Park, MI