Mrs Jennifer Lee Zajac, in Fort Drum, NY - Medicare Nurse Practitioner

Mrs Jennifer Lee Zajac, is a medicare enrolled "Nurse Practitioner - Women's Health" in Fort Drum, New York. Her current practice location is 11050 Mt Belvedere Blvd, Usa Meddac, Fort Drum, New York. You can reach out to her office (for appointments etc.) via phone at (315) 785-4624.

Mrs Jennifer Lee Zajac is licensed to practice in New York (license number 420663) 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 1609965565.

Contact Information

	Mrs Jennifer Lee Zajac,
	11050 Mt Belvedere Blvd, Usa Meddac, Fort Drum, NY 13602-5004
	(315) 785-4624
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Lee Zajac
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	11050 Mt Belvedere Blvd, Fort Drum, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609965565
Provider Enumeration Date: 10/11/2006
Last Update Date: 09/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9436280674
Enrollment ID: I20100701000463

Medical Identifiers

Medical identifiers for Mrs Jennifer Lee Zajac such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609965565	NPI	-	NPPES
03400828	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	002171 (New York)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	420663 (New York)	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 Jennifer Lee Zajac allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525

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 Jennifer Lee Zajac 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 Jennifer Lee Zajac, Usa Meddac, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Ph: () -	Mrs Jennifer Lee Zajac, 11050 Mt Belvedere Blvd, Usa Meddac, Fort Drum, NY 13602-5004 Ph: (315) 785-4624

Reviews and Comments

Nurse Practitioner Nurses in Fort Drum, NY

Panita Pipatnawin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-774-5356
Melissa L Reynolds, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Usa Meddac, 11050 Mt. Belvedere Blvd., Fort Drum, NY 13602 Phone: 315-772-2778 Fax: 315-965-3703
Sarah D Hasko, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10020 Korengal Valley Rd, Fort Drum, NY 13602 Phone: 315-772-2778
Denise Huerta, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-0215
John Scott Kerns, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Guthrie Army Health Clinic, Fort Drum, NY 13602 Phone: 315-772-6976
Mrs. Jennifer Louise Petersen, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498
Michelle S. V. Napper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-774-5557

Mrs Jennifer Lee Zajac, - Medicare Nurse Practitioner in Fort Drum, NY