Jennifer Mary Milchak, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Valparaiso, Indiana. Her current practice location is
2421 Laporte Ave, Valparaiso, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 462-4167.
Jennifer Mary Milchak is licensed to practice in Indiana (license number 71015196A) 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 1558119214.
Physician's Profile
| Full Name | Jennifer Mary Milchak |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2421 Laporte Ave, Valparaiso, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558119214
- Provider Enumeration Date: 05/08/2024
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436591039
- Enrollment ID: I20240529000468
Medical Identifiers
Medical identifiers for Jennifer Mary Milchak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558119214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 71015196A (Indiana) | Secondary |
| 208000000X | Pediatrics | 71015196A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71015196A (Indiana) | 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 Mary Milchak allows following entities to bill medicare on her behalf.
| Entity Name | Franciscan Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225327984
PECOS PAC ID: 3072790682
Enrollment ID: O20110608000486 |
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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 Mary Milchak 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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Jennifer Mary Milchak, FNP
Po Box 781076,
Detroit, MI 48278-1076
Ph: (317) 528-4800 | Jennifer Mary Milchak, FNP
2421 Laporte Ave,
Valparaiso, IN 46383-6914
Ph: (219) 462-4167 |
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