Denise Renee' Jones, - Medicare Nurse Practitioner in Dover, DE

Denise Renee' Jones, is a medicare enrolled "Nurse Practitioner" in Dover, Delaware. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice La Red Health Center Inc, Nephrology Associates Pa and her current practice location is 1198 S Governors Ave Ste B100, Dover, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 734-3227.

Denise Renee' Jones is licensed to practice in Delaware (license number LG-00011117) 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 1992290266.

Contact Information

Denise Renee' Jones,
1198 S Governors Ave Ste B100,
Dover, DE 19904-6930
(302) 734-3227
Not Available

Map and Direction




Provider's Profile

Full NameDenise Renee' Jones
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1198 S Governors Ave Ste B100, Dover, Delaware
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Denise Renee' Jones graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1992290266
  • Provider Enumeration Date: 06/28/2018
  • Last Update Date: 06/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0345599643
  • Enrollment ID: I20180820003333

Medical Identifiers

Medical identifiers for Denise Renee' Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992290266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner LG-00011117 (Delaware)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bayhealth Hospital, Kent CampusDover, DEHospital
Nanticoke Memorial HospitalSeaford, DEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
La Red Health Center Inc478966881517
Nephrology Associates Pa983009817756

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. Denise Renee' Jones allows following entities to bill medicare on her behalf.
Entity NameNephrology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407805203
PECOS PAC ID: 9830098177
Enrollment ID: O20040106000439
Entity NameLa Red Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700832185
PECOS PAC ID: 4789668815
Enrollment ID: O20070306000183
Entity NameAmbient Medical Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053583559
PECOS PAC ID: 3577639640
Enrollment ID: O20080915000214

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. Denise Renee' Jones 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 AddressPractice Location Address
Denise Renee' Jones,
4923 Ogletown Stanton Rd Ste 200,
Newark, DE 19713-6005

Ph: (302) 225-0451
Denise Renee' Jones,
1198 S Governors Ave Ste B100,
Dover, DE 19904-6930

Ph: (302) 734-3227

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.