Dr Jenell Charese Smith Wade, MD in Jonesboro, AR

Dr Jenell Charese Smith Wade, MD is a medicare enrolled "Emergency Medicine" physician in Jonesboro, Arkansas. She went to Wright State University Boonshoft School Of Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 225 E Jackson Ave, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 207-5200.

Dr Jenell Charese Smith Wade is licensed to practice in Arkansas (license number E-8314) 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 1205084597.

Contact Information

	Dr Jenell Charese Smith Wade, MD
	225 E Jackson Ave, Jonesboro, AR 72401-3119
	(870) 207-5200
	(310) 933-1474

Map and Direction

Physician's Profile

Full Name	Dr Jenell Charese Smith Wade
Gender	Female
Speciality	Family Practice
Experience	18 Years
Location	225 E Jackson Ave, Jonesboro, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jenell Charese Smith Wade attended and graduated from Wright State University Boonshoft School Of Medicine in 2008

NPI Data:

NPI Number: 1205084597
Provider Enumeration Date: 08/29/2008
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0648490110
Enrollment ID: I20240710002454

Medical Identifiers

Medical identifiers for Dr Jenell Charese Smith Wade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205084597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	E-8314 (Arkansas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	E-8314 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	9038

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. Dr Jenell Charese Smith Wade allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Dr Jenell Charese Smith Wade 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
Dr Jenell Charese Smith Wade, MD 225 E Jackson Ave, Jonesboro, AR 72401-3119 Ph: (870) 207-5200	Dr Jenell Charese Smith Wade, MD 225 E Jackson Ave, Jonesboro, AR 72401-3119 Ph: (870) 207-5200

Reviews and Comments

Emergency Medicine Doctors in Jonesboro, AR

William C Mcbryde, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-972-4145
Andrew Mirocke, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Alfred Nesaraj, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Danny Eugene Grubbs, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3202 Methodist Dr, Jonesboro, AR 72401 Phone: 870-932-2221 Fax: 870-931-3229
Jeremy Jeffrey Cohen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-974-3188
Alexander W Dunlap, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-972-4145
Mattie Larae Erby, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 722 S Church St, Jonesboro, AR 72401 Phone: 870-207-5200

Dr Jenell Charese Smith Wade, MD - Medicare Family Practice in Jonesboro, AR