Jeremy Jackson Renz, DO - Medicare Internal Medicine in Green Bay, WI

Jeremy Jackson Renz, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Green Bay, Wisconsin. His current practice location is 1821 S Webster Ave, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 496-4700.

Jeremy Jackson Renz is licensed to practice in Wisconsin (license number 81579-21) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285121285.

Contact Information

Jeremy Jackson Renz, DO
1821 S Webster Ave,
Green Bay, WI 54301-2253
(920) 496-4700
Not Available

Map and Direction




Physician's Profile

Full NameJeremy Jackson Renz
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location1821 S Webster Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285121285
  • Provider Enumeration Date: 04/16/2018
  • Last Update Date: 09/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345597605
  • Enrollment ID: I20220920002050

Medical Identifiers

Medical identifiers for Jeremy Jackson Renz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285121285NPI-NPPES
100288803MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine DR.0066106 (Colorado)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 81579-21 (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. Jeremy Jackson Renz allows following entities to bill medicare on his behalf.
Entity NameInpatient Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710999768
PECOS PAC ID: 5496651267
Enrollment ID: O20031211000419
Entity NameParkview Ancillary Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982878765
PECOS PAC ID: 4385722511
Enrollment ID: O20080429000248

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. Jeremy Jackson Renz 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
Jeremy Jackson Renz, DO
Po Box 19070,
Green Bay, WI 54307-9070

Ph: (920) 496-4700
Jeremy Jackson Renz, DO
1821 S Webster Ave,
Green Bay, WI 54301-2253

Ph: (920) 496-4700

Reviews and Comments


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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.