Jenna Fairlie, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in W Springfield, Massachusetts. She went to Northwestern University Feinberg Medical School and graduated in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Springfield Anesthesia Service Inc and her current practice location is
181 Park Ave Ste 5, W Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 796-7499.
Jenna Fairlie is licensed to practice in Massachusetts (license number 2269619) 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 1457830515.
Provider's Profile
| Full Name | Jenna Fairlie |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 6 Years |
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| Location | 181 Park Ave Ste 5, W Springfield, Massachusetts |
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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:
- Jenna Fairlie attended and graduated from Northwestern University Feinberg Medical School in 2018
NPI Data:
- NPI Number: 1457830515
- Provider Enumeration Date: 08/09/2018
- Last Update Date: 08/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 5395098214
- Enrollment ID: I20181023002095
Medical Identifiers
Medical identifiers for Jenna Fairlie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457830515 | NPI | - | NPPES |
| 2269619 | Other | MA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 2269619 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Springfield Anesthesia Service Inc | 0345228011 | 86 |
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. Jenna Fairlie allows following entities to bill medicare on her behalf.
| Entity Name | Springfield Anesthesia Service Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093768830
PECOS PAC ID: 0345228011
Enrollment ID: O20040709000365 |
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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. Jenna Fairlie 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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Jenna Fairlie,
181 Park Ave Ste 5,
W Springfield, MA 01089-3365
Ph: (413) 796-7499 | Jenna Fairlie,
181 Park Ave Ste 5,
W Springfield, MA 01089-3365
Ph: (413) 796-7499 |
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