Emily Jennewine, MSN, CPNP, PC is a medicare enrolled "Pediatrics" in Memphis, Tennessee. Her current practice location is
6063 Mount Moriah Road Ext Ste 4, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(901) 531-8800.
Emily Jennewine is licensed to practice in Tennessee (license number 0000027454) 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 1356810246.
Provider's Profile
| Full Name | Emily Jennewine |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 6063 Mount Moriah Road Ext Ste 4, Memphis, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356810246
- Provider Enumeration Date: 11/20/2018
- Last Update Date: 03/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921424789
- Enrollment ID: I20200811003841
Medical Identifiers
Medical identifiers for Emily Jennewine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356810246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 1193105 (Texas) | Secondary |
| 208000000X | Pediatrics | 0000027454 (Tennessee) | Primary |
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. Emily Jennewine allows following entities to bill medicare on her behalf.
| Entity Name | Ut Lebonheur Pediatric Specialists, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093024101
PECOS PAC ID: 7719173939
Enrollment ID: O20101130000117 |
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| Entity Name | Dar Salud Care, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598018806
PECOS PAC ID: 5890929418
Enrollment ID: O20131014000776 |
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| Entity Name | Darsalud Community Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174184709
PECOS PAC ID: 1759706567
Enrollment ID: O20200810002957 |
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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. Emily Jennewine 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 |
|---|
Emily Jennewine, MSN, CPNP, PC
6063 Mount Moriah Road Ext Ste 4,
Memphis, TN 38115-2665
Ph: (901) 531-8800 | Emily Jennewine, MSN, CPNP, PC
6063 Mount Moriah Road Ext Ste 4,
Memphis, TN 38115-2665
Ph: (901) 531-8800 |
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