Jeanie Nicole Doom, APRN is a medicare enrolled "Nurse Practitioner - Family" in Grand Rivers, Kentucky. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pennyroyal Healthcare Services, Inc and her current practice location is
1860 Jh Obryan Ave, Grand Rivers, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 362-8246.
Jeanie Nicole Doom is licensed to practice in Kentucky (license number 3009544) 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 1003291360.
Provider's Profile
| Full Name | Jeanie Nicole Doom |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 1860 Jh Obryan Ave, Grand Rivers, Kentucky |
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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:
- Jeanie Nicole Doom graduated from nursing school in 2015
NPI Data:
- NPI Number: 1003291360
- Provider Enumeration Date: 07/28/2015
- Last Update Date: 07/28/2015
Medicare PECOS Information:
- PECOS PAC ID: 7113236506
- Enrollment ID: I20151026002647
Medical Identifiers
Medical identifiers for Jeanie Nicole Doom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003291360 | NPI | - | NPPES |
| 3009544 | Other | KY | APRN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3009544 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pennyroyal Healthcare Services, Inc | 6002076700 | 9 |
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. Jeanie Nicole Doom allows following entities to bill medicare on her behalf.
| Entity Name | Pennyroyal Healthcare Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124319942
PECOS PAC ID: 6002076700
Enrollment ID: O20120404000101 |
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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. Jeanie Nicole Doom 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 |
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Jeanie Nicole Doom, APRN
1860 Jh Obryan Ave,
Grand Rivers, KY 42045-9049
Ph: (270) 362-8246 | Jeanie Nicole Doom, APRN
1860 Jh Obryan Ave,
Grand Rivers, KY 42045-9049
Ph: (270) 362-8246 |
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