Dr Eric L Jenison, MD in Green Bay, WI - Medicare Obstetrics & Gynecology

Dr Eric L Jenison, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Green Bay, Wisconsin. His current practice location is 704 S Webster Ave, Suite 100, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-3430.

Dr Eric L Jenison is licensed to practice in Wisconsin (license number 59856) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669477071.

Contact Information

	Dr Eric L Jenison, MD
	704 S Webster Ave, Suite 100, Green Bay, WI 54301-3528
	(920) 433-3430
	(920) 432-6313

Map and Direction

Physician's Profile

Full Name	Dr Eric L Jenison
Gender	Male
Speciality	Obstetrics & Gynecology - Gynecologic Oncology
Location	704 S Webster Ave, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669477071
Provider Enumeration Date: 06/14/2005
Last Update Date: 09/18/2014

Medicare PECOS Information:

PECOS PAC ID: 4981760774
Enrollment ID: I20100825000694

Medical Identifiers

Medical identifiers for Dr Eric L Jenison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669477071	NPI	-	NPPES
0288531	Medicaid	OR
1669477071	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	038252 (Ohio)	Secondary
207VX0201X	Obstetrics & Gynecology - Gynecologic Oncology	59856 (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. Dr Eric L Jenison allows following entities to bill medicare on his behalf.

Entity Name	Mercy Health Physicians-north Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750

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. Dr Eric L Jenison 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
Dr Eric L Jenison, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7210	Dr Eric L Jenison, MD 704 S Webster Ave, Suite 100, Green Bay, WI 54301-3528 Ph: (920) 433-3430

Reviews and Comments

Obstetrics & Gynecology Doctors in Green Bay, WI

Edward G Vogel, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2641 Development Dr, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869
Dr. Michael J Brockman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #420, Green Bay, WI 54308 Phone: 920-288-8400 Fax: 920-288-8461
Dr. John Cornelius Gallagher, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #480, Green Bay, WI 54308 Phone: 920-288-8400 Fax: 920-288-8463
Michael C O'toole, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2641 Development Drive, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869
Anna Maria Guanzon, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Megan E Temp, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2641 Development Dr, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869
Kathlene A Kusiv, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1537 Park Pl Ste 200, Green Bay, WI 54304 Phone: 920-498-8650 Fax: 920-498-0945

Dr Eric L Jenison, MD - Medicare Obstetrics & Gynecology in Green Bay, WI