Jennifer Broadwater Kingery, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Athens, Ohio. She graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ohiohealth Corporation and her current practice location is
191 W Union St Ste 127, Athens, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 592-7010.
Jennifer Broadwater Kingery is licensed to practice in Ohio (license number 34.015734) 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 1366625444.
Physician's Profile
| Full Name | Jennifer Broadwater Kingery |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 20 Years |
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| Location | 191 W Union St Ste 127, Athens, Ohio |
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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:
- Jennifer Broadwater Kingery graduated from medical school in 2006
NPI Data:
- NPI Number: 1366625444
- Provider Enumeration Date: 12/11/2007
- Last Update Date: 05/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 7911088109
- Enrollment ID: I20220629000967
Medical Identifiers
Medical identifiers for Jennifer Broadwater Kingery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366625444 | NPI | - | NPPES |
| 0491937 | Medicaid | OH | |
| 7100032100 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 34.015734 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 03244 (Kentucky) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 34.015734 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ohiohealth Corporation | 6305758426 | 2279 |
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. Jennifer Broadwater Kingery allows following entities to bill medicare on her behalf.
| Entity Name | Ohiohealth Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532 |
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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. Jennifer Broadwater Kingery 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 |
|---|
Jennifer Broadwater Kingery, DO
Po Box 7527,
Dublin, OH 43017-0727
Ph: (740) 592-7010 | Jennifer Broadwater Kingery, DO
191 W Union St Ste 127,
Athens, OH 45701-2732
Ph: (740) 592-7010 |
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