Ashley Jensen, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Superior, Wisconsin. Her current practice location is
109 N 28th St E, Superior, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(218) 428-2243.
Ashley Jensen is licensed to practice in Wisconsin (license number 14894-33) 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 1780454546.
Physician's Profile
Full Name | Ashley Jensen |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 109 N 28th St E, Superior, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780454546
- Provider Enumeration Date: 01/03/2024
- Last Update Date: 08/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567800386
- Enrollment ID: I20240329000325
Medical Identifiers
Medical identifiers for Ashley Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780454546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 14894-33 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 14894-33 (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. Ashley Jensen allows following entities to bill medicare on her behalf.
Entity Name | St Lukes Hospital Of Duluth |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1629017793 PECOS PAC ID: 7113834839 Enrollment ID: O20040323000234 |
---|
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. Ashley Jensen 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 |
Ashley Jensen, FNP-BC 109 N 28th St E, Superior, WI 54880-6548 Ph: (715) 395-3900 | Ashley Jensen, FNP-BC 109 N 28th St E, Superior, WI 54880-6548 Ph: (218) 428-2243 |
Reviews and Comments