Jennifer P King, PA-C is a medicare enrolled "Physician Assistant - Medical" in Jamestown, Tennessee. Her current practice location is
100 S Duncan St, Jamestown, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 879-5864.
Jennifer P King is licensed to practice in Tennessee (license number 001695) 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 1962641530.
Provider's Profile
| Full Name | Jennifer P King |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 100 S Duncan St, Jamestown, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962641530
- Provider Enumeration Date: 02/05/2009
- Last Update Date: 12/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 6305994351
- Enrollment ID: I20090430000177
Medical Identifiers
Medical identifiers for Jennifer P King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962641530 | NPI | - | NPPES |
| 1695 | Other | TN | TN STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 1695 (Tennessee) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 001695 (Tennessee) | Primary |
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. Jennifer P King 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 |
Jennifer P King, PA-C 229 Interstate Dr, Suite 103, Crossville, TN 38555-2709 Ph: (931) 210-5577 | Jennifer P King, PA-C 100 S Duncan St, Jamestown, TN 38556-3009 Ph: (931) 879-5864 |
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