Mrs Jennifer Nicole Brennan, FNP in Wallace, NC

Mrs Jennifer Nicole Brennan, FNP is a medicare enrolled "Nurse Practitioner" in Wallace, North Carolina. Her current practice location is 112 Medical Village Dr Ste G, Wallace, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 552-1580.

Mrs Jennifer Nicole Brennan is licensed to practice in North Carolina (license number 5017058) 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 1730804907.

Contact Information

	Mrs Jennifer Nicole Brennan, FNP
	112 Medical Village Dr Ste G, Wallace, NC 28466-1665
	(910) 552-1580
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Nicole Brennan
Gender	Female
Speciality	Nurse Practitioner
Location	112 Medical Village Dr Ste G, Wallace, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730804907
Provider Enumeration Date: 10/10/2022
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5698145399
Enrollment ID: I20221221000215

Medical Identifiers

Medical identifiers for Mrs Jennifer Nicole Brennan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730804907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5017058 (North Carolina)	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. Mrs Jennifer Nicole Brennan allows following entities to bill medicare on her behalf.

Entity Name	Urgent Care Of Wallace Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699372243 PECOS PAC ID: 7911318308 Enrollment ID: O20201116000446

Entity Name	Sandy Shores Medical Center And Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821681271 PECOS PAC ID: 1658787270 Enrollment ID: O20210305001881

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. Mrs Jennifer Nicole Brennan 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
Mrs Jennifer Nicole Brennan, FNP 104 Pagoda Ct, Hampstead, NC 28443-7252 Ph: (571) 643-3195	Mrs Jennifer Nicole Brennan, FNP 112 Medical Village Dr Ste G, Wallace, NC 28466-1665 Ph: (910) 552-1580

Reviews and Comments

Nurse Practitioner Nurses in Wallace, NC

Claudia Compton Smith, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Eastwood Drive, Wallace, NC 28466 Phone: 910-285-2330 Fax: 910-285-3060
Kayla Sholar Walker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Eastwood Dr, Wallace, NC 28466 Phone: 910-285-2330
Mary Anna Johnson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 E Murphy St, Wallace, NC 28466 Phone: 910-285-4100 Fax: 910-285-4766
Mrs. Hannah Deanes Ziebol, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Eastwood Dr, Wallace, NC 28466 Phone: 910-285-2330 Fax: 910-320-8429
Johnny Moyer, N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 110 Eastwood Dr, Wallace, NC 28466 Phone: 910-285-2330

Mrs Jennifer Nicole Brennan, FNP - Medicare Nurse Practitioner in Wallace, NC