Miss Jennifer Lacey Pantoja, NP - Medicare Nurse Practitioner in Fulton, MD

Miss Jennifer Lacey Pantoja, NP is a medicare enrolled "Nurse Practitioner - Family" in Fulton, Maryland. Her current practice location is 7625 Maple Lawn Blvd Ste 1, Fulton, Maryland. You can reach out to her office (for appointments etc.) via phone at (434) 610-9811.

Miss Jennifer Lacey Pantoja is licensed to practice in Maryland (license number R218266) 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 1285093047.

Contact Information

Miss Jennifer Lacey Pantoja, NP
7625 Maple Lawn Blvd Ste 1,
Fulton, MD 20759-2565
(434) 610-9811
Not Available

Map and Direction




Provider's Profile

Full NameMiss Jennifer Lacey Pantoja
GenderFemale
SpecialityNurse Practitioner - Family
Location7625 Maple Lawn Blvd Ste 1, Fulton, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285093047
  • Provider Enumeration Date: 02/22/2016
  • Last Update Date: 03/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406136076
  • Enrollment ID: I20161219000249

Medical Identifiers

Medical identifiers for Miss Jennifer Lacey Pantoja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285093047NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R218266 (Maryland)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. Miss Jennifer Lacey Pantoja 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
Miss Jennifer Lacey Pantoja, NP
20805 Fairway View Dr,
Gaithersburg, MD 20882-1841

Ph: (434) 610-9811
Miss Jennifer Lacey Pantoja, NP
7625 Maple Lawn Blvd Ste 1,
Fulton, MD 20759-2565

Ph: (434) 610-9811

Reviews and Comments


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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.

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