Etienne Kenfack, APN in Jersey City, NJ - Medicare Nurse Practitioner

Etienne Kenfack, APN is a medicare enrolled "Nurse Practitioner - Primary Care" in Jersey City, New Jersey. His current practice location is 191 Palisade Ave, Jersey City, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 656-4324.

Etienne Kenfack is licensed to practice in New Jersey (license number 26NJ00905700) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033677679.

Contact Information

	Etienne Kenfack, APN
	191 Palisade Ave, Jersey City, NJ 07306-1112
	(201) 656-4324
	(201) 656-4019

Map and Direction

Provider's Profile

Full Name	Etienne Kenfack
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	191 Palisade Ave, Jersey City, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033677679
Provider Enumeration Date: 03/02/2019
Last Update Date: 03/02/2019

Medicare PECOS Information:

PECOS PAC ID: 3779824511
Enrollment ID: I20190404001838

Medical Identifiers

Medical identifiers for Etienne Kenfack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033677679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	26NJ00905700 (New Jersey)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	26NJ00905700 (New Jersey)	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. Etienne Kenfack allows following entities to bill medicare on his behalf.

Entity Name	Pain And Disability Institute, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306924725 PECOS PAC ID: 5395901052 Enrollment ID: O20120724000790

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. Etienne Kenfack 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
Etienne Kenfack, APN 42 Chester Ave, Irvington, NJ 07111-3142 Ph: (862) 224-0668	Etienne Kenfack, APN 191 Palisade Ave, Jersey City, NJ 07306-1112 Ph: (201) 656-4324

Reviews and Comments

Nurse Practitioner Nurses in Jersey City, NJ

Catherine Winnie Adrianna Wen, DNP, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Grant Ave Unit 315, Jersey City, NJ 07305 Phone: 917-828-1689
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Mr. Anthony A Adeyinka, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Harborside Financial Center, Plaza 10, Suite 803, Jersey City, NJ 07311 Phone: 973-202-4290 Fax: 973-762-4140
Mrs. Claire Helene Handler, NP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2520 John F Kennedy Blvd, Jersey City, NJ 07304 Phone: 201-434-2618
Yanet Montiel Garnica, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 377 Jersey Ave Ste 310, Jersey City, NJ 07302 Phone: 201-499-3900
Larisa Rodriguez, DNP, CNM, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Christopher Columbus Dr, Jersey City, NJ 07302 Phone: 201-451-6300 Fax: 201-451-8300

Etienne Kenfack, APN - Medicare Nurse Practitioner in Jersey City, NJ