Heather Jerzak, RD, CD in Black River Falls, WI - Medicare Dietitian, Registered Provider

Heather Jerzak, RD, CD is a medicare enrolled "Dietitian, Registered" provider in Black River Falls, Wisconsin. Her current practice location is N6520 Lumber Jack Guy Rd, Black River Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (888) 685-4422.

Heather Jerzak is licensed to practice in Wisconsin (license number 2652-29) 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 1124455183.

Contact Information

	Heather Jerzak, RD, CD
	N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615
	(888) 685-4422
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Heather Jerzak
Gender	Female
Speciality	Dietitian, Registered
Location	N6520 Lumber Jack Guy Rd, Black River Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124455183
Provider Enumeration Date: 10/04/2013
Last Update Date: 02/01/2022

Medicare PECOS Information:

PECOS PAC ID: 5294962379
Enrollment ID: I20131217000509

Medical Identifiers

Medical identifiers for Heather Jerzak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124455183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2652-29 (Wisconsin)	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. Heather Jerzak allows following entities to bill medicare on her behalf.

Provider Name	Ho Chunk Nation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407911795 PECOS PAC ID: 5496709867 Enrollment ID: O20050309000066

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. Heather Jerzak 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
Heather Jerzak, RD, CD N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 Ph: (715) 284-9851	Heather Jerzak, RD, CD N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 Ph: (888) 685-4422

Reviews and Comments

Dietitian, Registered in Black River Falls, WI

Jessica Elizabeth Jennings, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 888-685-4422 Fax: 715-284-5107
Mrs. Kathryn Elizabeth Braaten, RDN, CD, CDCES, CLS Dietitian Medicare: Medicare Enrolled Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-5150
Cassandra Steadman, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: N6520 Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-4574
Miss Jamie Ann Sebion, R.D., C.D., C.L.C. Dietitian Medicare: Not Enrolled in Medicare Practice Location: N6520 Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851
Wendy M Backaus, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361

Heather Jerzak, RD, CD - Medicare Dietitian in Black River Falls, WI