Jenna Lee Dubruiel, PA - Medicare Physician Assistant in Dyer, TN

  1. Home
  2. Physician Assistant
  3. TN
  4. Dyer
Jenna Lee Dubruiel, PA is a medicare enrolled "Physician Assistant" in Dyer, Tennessee. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Presley Diabetes And Endocrine Center, Pllc, Southeastern Physician Services Pc and her current practice location is 1123 N Main St, Dyer, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 692-2853.

Jenna Lee Dubruiel is licensed to practice in Tennessee (license number 2166) 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 1114281748.

Contact Information

Jenna Lee Dubruiel, PA
1123 N Main St,
Dyer, TN 38330-1019
(731) 692-2853
(731) 692-2367

Map and Direction




Provider's Profile

Full NameJenna Lee Dubruiel
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location1123 N Main St, Dyer, Tennessee
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:
  • Jenna Lee Dubruiel graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1114281748
  • Provider Enumeration Date: 06/28/2012
  • Last Update Date: 12/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294982526
  • Enrollment ID: I20120821001098

Medical Identifiers

Medical identifiers for Jenna Lee Dubruiel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114281748NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2166 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beacon Home HealthJackson, TNHome health agency
Baptist Memorial Hospital Union CityUnion city, TNHospital
Jackson-madison County General HospitalJackson, TNHospital
West Tennessee Healthcare Dyersburg HospitalDyersburg, TNHospital
West Tennessee Healthcare Volunteer HospitalMartin, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Presley Diabetes And Endocrine Center, Pllc51931227112
Southeastern Physician Services Pc0042307852591

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 Lee Dubruiel allows following entities to bill medicare on her behalf.
Entity NameEmergency Coverage Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053351593
PECOS PAC ID: 8820983430
Enrollment ID: O20040220000755
Entity NameDyersburg Family Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174712780
PECOS PAC ID: 5991793879
Enrollment ID: O20040501000299
Entity NameEmergency Coverage LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666
Entity NameSoutheastern Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameFast Pace Medical Clinic PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NamePresley Diabetes and Endocrine Center, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366116071
PECOS PAC ID: 5193122711
Enrollment ID: O20210924001407
Entity NameWest Family Care Clinic PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285008367
PECOS PAC ID: 8921396912
Enrollment ID: O20221207000475

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 Lee Dubruiel 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
Jenna Lee Dubruiel, PA
1123 N Main St,
Dyer, TN 38330-1019

Ph: (731) 692-2853		Jenna Lee Dubruiel, PA
1123 N Main St,
Dyer, TN 38330-1019

Ph: (731) 692-2853

Reviews and Comments


Physician Assistant Nurses in Dyer, TN

Katie E Vance, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1123 N Main St, Dyer, TN 38330
Phone: 731-692-2853    Fax: 731-692-2367

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.