Jacqueline Kelly Pizinger, APN is a medicare enrolled "Nurse Practitioner - Family" physician in Joliet, Illinois. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Genesis Orthopedics And Sports Medicine Llc and her current practice location is
1445 Essington Road, Joliet, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 741-6900.
Jacqueline Kelly Pizinger is licensed to practice in Illinois (license number 209-008277) 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 1811290216.
Physician's Profile
| Full Name | Jacqueline Kelly Pizinger |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 1445 Essington Road, Joliet, Illinois |
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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:
- Jacqueline Kelly Pizinger graduated from medical school in 2010
NPI Data:
- NPI Number: 1811290216
- Provider Enumeration Date: 12/07/2010
- Last Update Date: 05/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395921100
- Enrollment ID: I20110512000031
Medical Identifiers
Medical identifiers for Jacqueline Kelly Pizinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811290216 | NPI | - | NPPES |
| 209008277 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 209008277 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209-008277 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Genesis Orthopedics And Sports Medicine Llc | 7618955808 | 13 |
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. Jacqueline Kelly Pizinger allows following entities to bill medicare on her behalf.
| Entity Name | Genesis Orthopedics & Sports Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346389061
PECOS PAC ID: 7618955808
Enrollment ID: O20040713001038 |
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| Entity Name | Mukund Komanduri M.d., S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801903497
PECOS PAC ID: 7113932310
Enrollment ID: O20060209000099 |
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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. Jacqueline Kelly Pizinger 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 |
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Jacqueline Kelly Pizinger, APN
1445 Essington Road,
Joliet, IL 60435-2886
Ph: (815) 741-6900 | Jacqueline Kelly Pizinger, APN
1445 Essington Road,
Joliet, IL 60435-2886
Ph: (815) 741-6900 |
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