Jennifer Bleak, MD - Medicare Psychiatry in Beloit, WI

  1. Home
  2. Psychiatry & Neurology
  3. WI
  4. Beloit
Jennifer Bleak, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Beloit, Wisconsin. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1989 and has 35 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Beloit Health System Inc and her current practice location is Beloit Health System Counselling Care Center, 1969 W. Hart Rd, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 364-5689.

Jennifer Bleak is licensed to practice in Wisconsin (license number 036-083757) 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 1013124239.

Contact Information

Jennifer Bleak, MD
Beloit Health System Counselling Care Center, 1969 W. Hart Rd,
Beloit, WI 53511-2230
(608) 364-5689
(608) 364-5525

Map and Direction




Physician's Profile

Full NameJennifer Bleak
GenderFemale
SpecialityPsychiatry
Experience35 Years
LocationBeloit Health System Counselling Care Center, Beloit, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Bleak attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1989
  NPI Data:
  • NPI Number: 1013124239
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 10/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0648410662
  • Enrollment ID: I20130715000611

Medical Identifiers

Medical identifiers for Jennifer Bleak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013124239NPI-NPPES
100002708MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 50247-20 (Wisconsin)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 036-083757 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beloit Health SystemBeloit, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beloit Health System Inc8224947858111

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 Bleak allows following entities to bill medicare on her behalf.
Entity NameBeloit Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679616361
PECOS PAC ID: 8224947858
Enrollment ID: O20031215000424
Entity NameShorehaven Behavioral Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598800740
PECOS PAC ID: 0143324954
Enrollment ID: O20070404000380

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 Bleak 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 AddressPractice Location Address
Jennifer Bleak, MD
Beloit Health System Counselling Care Center, 1969 W. Hart Rd,
Beloit, WI 53511-2230

Ph: (608) 364-5689		Jennifer Bleak, MD
Beloit Health System Counselling Care Center, 1969 W. Hart Rd,
Beloit, WI 53511-2230

Ph: (608) 364-5689

Reviews and Comments


Psychiatry & Neurology Doctors in Beloit, WI

Howard S Paul, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1969 W Hart Road, Beloit Health System Counseling Care Center, Beloit, WI 53511
Phone: 608-364-5684    Fax: 608-363-5756
Krzysztof Goetzen, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511
Phone: 608-364-2200    Fax: 608-364-1214
Dr. Judith Gail Ferko, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 74 Eclipse Center, Beloit, WI 53511
Phone: 608-361-0311    
Dr. Maria Maria Anleu-smith, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1969 W Hart Rd, Beloit Memorial Hospital (counseling Care Center), Beloit, WI 53511
Phone: 608-364-5686    Fax: 608-363-5756
Nancy J. Wilson, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1969 W Hart Rd, Beloit Memorial Hospital (counseling Care Center), Beloit, WI 53511
Phone: 608-364-5756    Fax: 608-363-5756
Mr. Javaid Iqbal, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1905 E. Huebbe Parkway, Beloit Health System (beloit Clinic), Beloit, WI 53511
Phone: 608-364-1460    Fax: 608-364-1214

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.