Ms Jennifer Donnelly Cushman, PA-C is a medicare enrolled "Physician Assistant" physician in Lubbock, Texas. Her current practice location is
7201 76th St, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 239-3017.
Ms Jennifer Donnelly Cushman is licensed to practice in Texas (license number PA11037) 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 1265985626.
Physician's Profile
Full Name | Ms Jennifer Donnelly Cushman |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 7201 76th St, Lubbock, Texas |
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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: 1265985626
- Provider Enumeration Date: 08/02/2016
- Last Update Date: 01/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082965645
- Enrollment ID: I20180920000229
Medical Identifiers
Medical identifiers for Ms Jennifer Donnelly Cushman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265985626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | PA2017-0003 (New Mexico) | Secondary |
363AM0700X | Physician Assistant - Medical | PA2017-0003 (New Mexico) | Secondary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | PA11037 (Texas) | 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 Jennifer Donnelly Cushman 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 Jennifer Donnelly Cushman, PA-C 7201 76th St, Lubbock, TX 79424-0722 Ph: (806) 239-3017 | Ms Jennifer Donnelly Cushman, PA-C 7201 76th St, Lubbock, TX 79424-0722 Ph: (806) 239-3017 |
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