Jinnyi Clements, AGCNS-BC is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Henderson, Kentucky. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Ultra Health Llc, Pineville Community Health Center Inc, Ultra Health Llc and her current practice location is
851 Kimsey Ln, Henderson, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(731) 394-1145.
Jinnyi Clements is licensed to practice in Kentucky (license number 3009770) 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 1942608328.
Provider's Profile
| Full Name | Jinnyi Clements |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 10 Years |
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| Location | 851 Kimsey Ln, Henderson, 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:
- Jinnyi Clements graduated from nursing school in 2014
NPI Data:
- NPI Number: 1942608328
- Provider Enumeration Date: 12/16/2014
- Last Update Date: 11/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628387057
- Enrollment ID: I20151026000198
Medical Identifiers
Medical identifiers for Jinnyi Clements such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942608328 | NPI | - | NPPES |
| 13616310 | Other | KY | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 71013259A (Indiana) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 3009770 (Kentucky) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 3009770 (Kentucky) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ultra Health Llc | 6800186602 | 81 |
| Pineville Community Health Center Inc | 5698009157 | 33 |
| Ultra Health Llc | 6800186602 | 81 |
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. Jinnyi Clements allows following entities to bill medicare on her behalf.
| Entity Name | Ultra Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20181109001113 |
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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. Jinnyi Clements 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 |
|---|
Jinnyi Clements, AGCNS-BC
36 Pemberton Cv,
Jackson, TN 38305-5514
Ph: (731) 394-1145 | Jinnyi Clements, AGCNS-BC
851 Kimsey Ln,
Henderson, KY 42420-2665
Ph: (731) 394-1145 |
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