Ms Jeanette Ethridge, NP in Fort Washington, MD

Ms Jeanette Ethridge, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Washington, Maryland. Her current practice location is 7522 Greer Dr, Fort Washington, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 648-5725.

Ms Jeanette Ethridge is licensed to practice in District Of Columbia (license number NP1006588) 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 1689334773.

Contact Information

	Ms Jeanette Ethridge, NP
	7522 Greer Dr, Fort Washington, MD 20744-3319
	(301) 648-5725
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jeanette Ethridge
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	7522 Greer Dr, Fort Washington, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689334773
Provider Enumeration Date: 12/30/2021
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3971947870
Enrollment ID: I20240220000348

Medical Identifiers

Medical identifiers for Ms Jeanette Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689334773	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN1006588 (District Of Columbia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP1006588 (District Of Columbia)	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. Ms Jeanette Ethridge allows following entities to bill medicare on her behalf.

Entity Name	Umbrella Therapeutic Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003324864 PECOS PAC ID: 2163787839 Enrollment ID: O20180530000655

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. Ms Jeanette Ethridge 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
Ms Jeanette Ethridge, NP 7522 Greer Dr, Fort Washington, MD 20744-3319 Ph: (301) 648-5725	Ms Jeanette Ethridge, NP 7522 Greer Dr, Fort Washington, MD 20744-3319 Ph: (301) 648-5725

Reviews and Comments

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Ms Jeanette Ethridge, NP - Medicare Nurse Practitioner in Fort Washington, MD