Nicole Fox Jennette, OTR/L is a medicare enrolled "Occupational Therapist" provider in Snow Hill, North Carolina. Her current practice location is
1304 Se Second St, Snow Hill, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 747-8126.
Nicole Fox Jennette is licensed to practice in North Carolina (license number 14109) 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 1831838481.
Healthcare Provider's Profile
Full Name | Nicole Fox Jennette |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1304 Se Second St, Snow Hill, North Carolina |
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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: 1831838481
- Provider Enumeration Date: 06/01/2022
- Last Update Date: 06/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123475860
- Enrollment ID: I20231117000045
Medical Identifiers
Medical identifiers for Nicole Fox Jennette such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831838481 | NPI | - | NPPES |
14109 | Other | NC | NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 14109 (North Carolina) | 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. Nicole Fox Jennette allows following entities to bill medicare on her behalf.
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
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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. Nicole Fox Jennette 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 |
Nicole Fox Jennette, OTR/L 214 Se Fourth St, Snow Hill, NC 28580-1526 Ph: (828) 773-3588 | Nicole Fox Jennette, OTR/L 1304 Se Second St, Snow Hill, NC 28580-2014 Ph: (252) 747-8126 |
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