Jennelle Anderson, CNP is a medicare enrolled "Registered Nurse - Community Health" provider in Worcester, Massachusetts. Her current practice location is
12 Queen St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 860-1260.
Jennelle Anderson is licensed to practice in Massachusetts (license number RN2298593) 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 1801257746.
Healthcare Provider's Profile
Full Name | Jennelle Anderson |
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Gender | Female |
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Speciality | Registered Nurse - Community Health |
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Location | 12 Queen St, Worcester, Massachusetts |
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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: 1801257746
- Provider Enumeration Date: 03/18/2016
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719418664
- Enrollment ID: I20241002001227
Medical Identifiers
Medical identifiers for Jennelle Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801257746 | NPI | - | NPPES |
1303007 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TH0100X | Psychologist - Health Service | 251500000X (Massachusetts) | Secondary |
163WC1500X | Registered Nurse - Community Health | RN2298593 (Massachusetts) | 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. Jennelle Anderson allows following entities to bill medicare on her behalf.
Entity Name | Community Healthlink Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649293028 PECOS PAC ID: 1153230065 Enrollment ID: O20040726000222 |
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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. Jennelle Anderson 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 |
Jennelle Anderson, CNP 40 Spruce St, Leominster, MA 01453-3361 Ph: () - | Jennelle Anderson, CNP 12 Queen St, Worcester, MA 01610-2411 Ph: (508) 860-1260 |
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