Mrs Jennifer Nicole Walley, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Millry, Alabama. She went to University Of South Alabama College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Millry Pediatric Clinic, Llc, Wayne General Hospital and her current practice location is
73 Long Street, Millry, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 846-3233.
Mrs Jennifer Nicole Walley is licensed to practice in Mississippi (license number R864418) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720300734.
Provider's Profile
| Full Name | Mrs Jennifer Nicole Walley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 73 Long Street, Millry, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jennifer Nicole Walley attended and graduated from University Of South Alabama College Of Medicine in 2009
NPI Data:
- NPI Number: 1720300734
- Provider Enumeration Date: 02/17/2010
- Last Update Date: 01/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163556507
- Enrollment ID: I20220218001606
Medical Identifiers
Medical identifiers for Mrs Jennifer Nicole Walley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720300734 | NPI | - | NPPES |
| 05485262 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 1-092094 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R864418 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Millry Pediatric Clinic, Llc | 0648444208 | 2 |
| Wayne General Hospital | 2668457581 | 30 |
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 Nicole Walley allows following entities to bill medicare on her behalf.
| Entity Name | Millry Pediatric Clinic, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316223027
PECOS PAC ID: 0648444208
Enrollment ID: O20111116000299 |
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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. Mrs Jennifer Nicole Walley 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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Mrs Jennifer Nicole Walley, FNP-BC
Po Box 465,
Millry, AL 36558-0465
Ph: (251) 846-3233 | Mrs Jennifer Nicole Walley, FNP-BC
73 Long Street,
Millry, AL 36558-4564
Ph: (251) 846-3233 |
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