Jennifer A Mirrielees, MD is a medicare enrolled "Emergency Medicine" physician in Waunakee, Wisconsin. Her current practice location is
5535 Galway Dr, Waunakee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(936) 525-7063.
Jennifer A Mirrielees is licensed to practice in Wisconsin (license number 77764-20) 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 1205465291.
Physician's Profile
Full Name | Jennifer A Mirrielees |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 5535 Galway Dr, Waunakee, Wisconsin |
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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: 1205465291
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 07/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840613626
- Enrollment ID: I20230613001402
Medical Identifiers
Medical identifiers for Jennifer A Mirrielees such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205465291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 77764-20 (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. Jennifer A Mirrielees allows following entities to bill medicare on her behalf.
Entity Name | University Of Wisconsin Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
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Entity Name | Stoughton Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679558647 PECOS PAC ID: 7012825706 Enrollment ID: O20040402001358 |
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Entity Name | Southern Wisconsin Emergency Associates Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568538189 PECOS PAC ID: 3274561055 Enrollment ID: O20050802000934 |
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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. Jennifer A Mirrielees 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 |
Jennifer A Mirrielees, MD 5535 Galway Dr, Waunakee, WI 53597-8414 Ph: (936) 525-7063 | Jennifer A Mirrielees, MD 5535 Galway Dr, Waunakee, WI 53597-8414 Ph: (936) 525-7063 |
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