Mrs Sally Dale G Jafari, CRNP in Easton, MD - Medicare Nurse Practitioner

Mrs Sally Dale G Jafari, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Easton, Maryland. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Maryland Community Medical Group Inc and her current practice location is 403 Purdy St, Suite 203, Easton, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 822-7040.

Mrs Sally Dale G Jafari is licensed to practice in Maryland (license number R069947) 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 1174517668.

Contact Information

	Mrs Sally Dale G Jafari, CRNP
	403 Purdy St, Suite 203, Easton, MD 21601-4059
	(410) 822-7040
	(410) 822-7056

Map and Direction

Provider's Profile

Full Name	Mrs Sally Dale G Jafari
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	403 Purdy St, Easton, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Sally Dale G Jafari graduated from nursing school in 1998

NPI Data:

NPI Number: 1174517668
Provider Enumeration Date: 09/12/2005
Last Update Date: 09/06/2013

Medicare PECOS Information:

PECOS PAC ID: 8325164361
Enrollment ID: I20100927001131

Medical Identifiers

Medical identifiers for Mrs Sally Dale G Jafari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174517668	NPI	-	NPPES
130003200	Medicaid	MD
287111400	Medicaid	MD
000969542	Medicaid	DE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R069947 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Umd Shore Medical Center At Easton	Easton, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Maryland Community Medical Group Inc	3678472214	361

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 Sally Dale G Jafari allows following entities to bill medicare on her behalf.

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

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 Sally Dale G Jafari 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 Sally Dale G Jafari, CRNP 403 Purdy St, Suite 203, Easton, MD 21601-4059 Ph: (410) 822-7040	Mrs Sally Dale G Jafari, CRNP 403 Purdy St, Suite 203, Easton, MD 21601-4059 Ph: (410) 822-7040

Reviews and Comments

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Olga Sergeyevna Negrete, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Cadmus Ln, Easton, MD 21601 Phone: 443-362-2579

Mrs Sally Dale G Jafari, CRNP - Medicare Nurse Practitioner in Easton, MD