Jennifer Henley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Jackson, Mississippi. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Central Mississippi Civic Improvement Association, Inc and her current practice location is
3502 W Northside Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 362-5321.
Jennifer Henley is licensed to practice in Mississippi (license number 903852) 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 1578037172.
Physician's Profile
| Full Name | Jennifer Henley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 3502 W Northside Dr, Jackson, Mississippi |
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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 Henley graduated from medical school in 2017
NPI Data:
- NPI Number: 1578037172
- Provider Enumeration Date: 01/16/2019
- Last Update Date: 05/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880025683
- Enrollment ID: I20200512000428
Medical Identifiers
Medical identifiers for Jennifer Henley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578037172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | AP140103 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 903852 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Mississippi Civic Improvement Association, Inc | 4183533235 | 47 |
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 Henley allows following entities to bill medicare on her behalf.
| Entity Name | Central Mississippi Civic Improvement Association, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134151442
PECOS PAC ID: 4183533235
Enrollment ID: O20040128000125 |
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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 Henley 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 |
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Jennifer Henley, FNP-C
Po Box 3437,
Jackson, MS 39207-3437
Ph: (601) 362-5321 | Jennifer Henley, FNP-C
3502 W Northside Dr,
Jackson, MS 39213-4454
Ph: (601) 362-5321 |
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