WALLACE RUSSELL JENKINS MD
NPI 1487654653
Pediatrics - Adolescent Medicine in Valhalla, NY
- Individual
- Male
- Pediatrics
- Adolescent Medicine
- PECOS Enrolled
About WALLACE JENKINS
This page provides the complete NPI Profile along with additional information for Wallace Jenkins, a pediatrician established in Valhalla, New York with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1487654653 assigned on July 2005. The practitioner's primary taxonomy code is 2080A0000X with license number 183800 (NY). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1487654653 Verify this NPI
- Provider Name
- WALLACE RUSSELL JENKINS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 503 GRASSLANDS RD STE 200 VALHALLA, NY 10595
- Location Phone
- (914) 304-5288
- Location Fax
- (914) 345-1755
- Mailing Address
- 503 GRASSLANDS RD STE 200 VALHALLA, NY 10595
- Mailing Phone
- (914) 304-5288
- Mailing Fax
- (914) 345-1755
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-28-2005
- Last Update Date
- 07-23-2013
- Code Navigator
A pediatrician like Wallace Jenkins is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 183800
- License State
- NY
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E95140 | MEDICARE UPIN (02) | NY | |
| 01210104 | MEDICAID (05) | NY | |
| 94F871 | MEDICARE PIN (08) | NY | |
| 94F87EA202 | MEDICARE PIN (08) | NY | |
| 94F87EA201 | MEDICARE PIN (08) | NY |
Medicare Participation & PECOS Enrollment Status
Wallace Jenkins is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
1 DME suppliers used 17 Medicare Claims 41 Services Paid
Orthotic Devices
DME-Orthotic Devices (DF000N)
Tracheostomy care kit for established tracheostomy (HCPCS:A4629)
1 DME suppliers used 11 Medicare Claims 330 Services Paid
Reviews for WALLACE RUSSELL JENKINS MD
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
VALHALLA, NY 10595
VALHALLA, NY 10595
VALHALLA, NY 10595
VALHALLA, NY 10595
VALHALLA, NY 10595
VALHALLA, NY 10595
VALHALLA, NY 10595
VALHALLA, NY 10595
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487654653, enumerated as an "individual" on July 28, 2005.
The provider is located at 503 GRASSLANDS RD STE 200 VALHALLA, NY 10595 and the phone number is (914) 304-5288.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
