Ms Kesi Jemila Gittens-penny, PA-C is a medicare enrolled "Physician Assistant" in Orange, New Jersey. Her current practice location is
409 Hillside Ave, Orange, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(862) 704-8553.
Ms Kesi Jemila Gittens-penny is licensed to practice in New Jersey (license number 25MP00702800) 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 1932845260.
Provider's Profile
Full Name | Ms Kesi Jemila Gittens-penny |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 409 Hillside Ave, Orange, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932845260
- Provider Enumeration Date: 05/10/2022
- Last Update Date: 05/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315310174
- Enrollment ID: I20230227002342
Medical Identifiers
Medical identifiers for Ms Kesi Jemila Gittens-penny such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932845260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 25MP00702800 (New Jersey) | Primary |
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. Ms Kesi Jemila Gittens-penny 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 |
Ms Kesi Jemila Gittens-penny, PA-C 409 Hillside Ave, Orange, NJ 07050-2117 Ph: (862) 704-8553 | Ms Kesi Jemila Gittens-penny, PA-C 409 Hillside Ave, Orange, NJ 07050-2117 Ph: (862) 704-8553 |
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