Stephanie D Jenniches, NP in Upland, CA - Medicare Nurse Practitioner

Stephanie D Jenniches, NP is a medicare enrolled "Nurse Practitioner" in Upland, California. Her current practice location is 999 San Bernardino Rd, Upland, California. You can reach out to her office (for appointments etc.) via phone at (909) 985-2811.

Stephanie D Jenniches is licensed to practice in California (license number NP9412) 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 1114940988.

Contact Information

	Stephanie D Jenniches, NP
	999 San Bernardino Rd, Upland, CA 91786-4920
	(909) 985-2811
	(818) 587-2493

Map and Direction

Provider's Profile

Full Name	Stephanie D Jenniches
Gender	Female
Speciality	Nurse Practitioner
Location	999 San Bernardino Rd, Upland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114940988
Provider Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5698723534
Enrollment ID: I20050107000425

Medical Identifiers

Medical identifiers for Stephanie D Jenniches such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114940988	NPI	-	NPPES
RN513294	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP9412 (California)	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. Stephanie D Jenniches allows following entities to bill medicare on her behalf.

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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. Stephanie D Jenniches 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
Stephanie D Jenniches, NP Po Box 4419, Woodland Hills, CA 91365-4419 Ph: (818) 340-9988	Stephanie D Jenniches, NP 999 San Bernardino Rd, Upland, CA 91786-4920 Ph: (909) 985-2811

Reviews and Comments

Nurse Practitioner Nurses in Upland, CA

Stephanie J Rasmussen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811
Madonna Zand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 San Bernardino Rd, 205, Upland, CA 91786 Phone: 909-981-9991
Michelle Jessica Carhill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Upland, CA 91786 Phone: 909-608-7546
Bernice Tan, DNP NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 N 13th Ave Ste 204, Upland, CA 91786 Phone: 909-920-0525
Dani Achi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 N Mountain Ave Ste 113, Upland, CA 91784 Phone: 909-377-0030
Mrs. Mina Grasso, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1113 Alta Ave Ste 210, Upland, Upland, CA 91786 Phone: 909-982-1074 Fax: 909-982-3104
Hye Kyung Jeon Chase, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 954 W Foothill Blvd Ste A, Upland, CA 91786 Phone: 909-946-4222

Stephanie D Jenniches, NP - Medicare Nurse Practitioner in Upland, CA