Dr Shanique Nastassja Jarrett, DO is a medicare enrolled "Hospitalist" physician in Marinette, Wisconsin. She went to William Carey University College Of Osteopathic Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare Medical Center - Shawano, Inc. and her current practice location is
3003 University Dr, Marinette, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 735-4200.
Dr Shanique Nastassja Jarrett is licensed to practice in Wisconsin (license number 69031) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841678216.
Physician's Profile
| Full Name | Dr Shanique Nastassja Jarrett |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 3003 University Dr, Marinette, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shanique Nastassja Jarrett attended and graduated from William Carey University College Of Osteopathic Medicine in 2014
NPI Data:
- NPI Number: 1841678216
- Provider Enumeration Date: 05/18/2015
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305194234
- Enrollment ID: I20180808002750
Medical Identifiers
Medical identifiers for Dr Shanique Nastassja Jarrett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841678216 | NPI | - | NPPES |
| 100079353 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 69031 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 69031 (Wisconsin) | Primary |
| 207Q00000X | Family Medicine | OT016339 (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Thedacare Medical Center - Shawano, Inc. | 5890605836 | 32 |
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 Shanique Nastassja Jarrett allows following entities to bill medicare on her behalf.
| Entity Name | Thedacare, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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| Entity Name | Thedacare Medical Center - Shawano, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117 |
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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 Shanique Nastassja Jarrett 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 Shanique Nastassja Jarrett, DO
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Dr Shanique Nastassja Jarrett, DO
3003 University Dr,
Marinette, WI 54143-4110
Ph: (715) 735-4200 |
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