Dr Jennifer Ann Ehmann, MD is a medicare enrolled "Pediatrics" physician in South Lake Tahoe, California. Her current practice location is
2201 South Ave, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at
(530) 543-5623.
Dr Jennifer Ann Ehmann is licensed to practice in California (license number A67687) 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 1710984075.
Physician's Profile
Full Name | Dr Jennifer Ann Ehmann |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2201 South Ave, South Lake Tahoe, California |
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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: 1710984075
- Provider Enumeration Date: 07/01/2005
- Last Update Date: 09/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 4688614423
- Enrollment ID: I20050511000176
Medical Identifiers
Medical identifiers for Dr Jennifer Ann Ehmann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710984075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 11072 (Nevada) | Secondary |
208000000X | Pediatrics | A67687 (California) | 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 Jennifer Ann Ehmann allows following entities to bill medicare on her behalf.
Entity Name | Barton Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806 |
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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. Dr Jennifer Ann Ehmann 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 Jennifer Ann Ehmann, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | Dr Jennifer Ann Ehmann, MD 2201 South Ave, South Lake Tahoe, CA 96150-7025 Ph: (530) 543-5623 |
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