Jennifer J Brimm, PTA, RN is a
Registered Nurse based in Marion, Illinois. Jennifer J Brimm is licensed to practice in Illinois (license number 041548637) and her current practice location is
2401 W Main St, Marion, Illinois. She can be reached at her office (for appointments etc.) via phone at
(850) 763-0505.
NPI number for Jennifer J Brimm is 1174730964 and her current mailing address is 935 Triple S Rd, Harrisburg, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174730964.
Healthcare Provider's Profile
| Full Name | Jennifer J Brimm |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 2401 W Main St, Marion, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174730964
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 10/18/2023
Medical Identifiers
Medical identifiers for Jennifer J Brimm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174730964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | PTA20857 (Florida) | Secondary |
| 163W00000X | Registered Nurse | 041548637 (Illinois) | 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 J Brimm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer J Brimm, PTA, RN 935 Triple S Rd, Harrisburg, IL 62946-4607 Ph: (850) 624-0659 | Jennifer J Brimm, PTA, RN 2401 W Main St, Marion, IL 62959-1188 Ph: (850) 763-0505 |
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