Mrs Jennifer Lynne O'brien, RD, LDN is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Stoneham, Massachusetts. Her current practice location is
18 Everett St, Stoneham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(774) 284-0301.
Mrs Jennifer Lynne O'brien is licensed to practice in * (Not Available) (license number ) 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 1821632662.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Lynne O'brien |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 18 Everett St, Stoneham, Massachusetts |
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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: 1821632662
- Provider Enumeration Date: 11/05/2019
- Last Update Date: 01/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678097391
- Enrollment ID: I20250403002098
Medical Identifiers
Medical identifiers for Mrs Jennifer Lynne O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821632662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 4836 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mrs Jennifer Lynne O'brien 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 |
Mrs Jennifer Lynne O'brien, RD, LDN 18 Everett St, Stoneham, MA 02180-3155 Ph: (774) 284-0301 | Mrs Jennifer Lynne O'brien, RD, LDN 18 Everett St, Stoneham, MA 02180-3155 Ph: (774) 284-0301 |
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