Jenna Butner, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in South Ozone Park, New York. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Yale University and her current practice location is
13405 Rockaway Blvd, South Ozone Park, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 323-9700.
Jenna Butner is licensed to practice in New York (license number 270676) 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 1316258775.
Physician's Profile
| Full Name | Jenna Butner |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 15 Years |
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| Location | 13405 Rockaway Blvd, South Ozone Park, New York |
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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:
- Jenna Butner graduated from medical school in 2009
NPI Data:
- NPI Number: 1316258775
- Provider Enumeration Date: 06/30/2010
- Last Update Date: 09/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971724170
- Enrollment ID: I20141030002330
Medical Identifiers
Medical identifiers for Jenna Butner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316258775 | NPI | - | NPPES |
| 008039745 | Other | CT | PCS MEDICAID (BPT) |
| 008053091 | Other | CT | DR. BUTNER MEDICAID # |
| D400172220 | Other | CT | BUTNER MEDICARE |
| 004217099 | Other | CT | PCS MEDICAID NH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 270676 (New York) | Secondary |
| 207Q00000X | Family Medicine | 053322 (Connecticut) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | MD17941 (Rhode Island) | Secondary |
| 207R00000X | Internal Medicine | 53322 (Connecticut) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 053322 (Connecticut) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 270676 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Yale University | 9436061736 | 2241 |
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. Jenna Butner allows following entities to bill medicare on her behalf.
| Entity Name | Yale University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015 |
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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. Jenna Butner 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 |
|---|
Jenna Butner, MD
235 E 44th St Apt 9d,
New York, NY 10017-4384
Ph: (516) 721-6717 | Jenna Butner, MD
13405 Rockaway Blvd,
South Ozone Park, NY 11420-3020
Ph: (718) 323-9700 |
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