Jessica D Wissenbach, DO - Family Medicine in Provo, UT

Jessica D Wissenbach, DO is a Family Medicine physician based in Provo, Utah. Jessica D Wissenbach is licensed to practice in Utah (license number 13516654-1204) and her current practice location is 395 W Cougar Blvd Ste 205, Provo, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 357-1770.

NPI number for Jessica D Wissenbach is 1114676004 and her current mailing address is Po Box 27128, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114676004.

Contact Information

Jessica D Wissenbach, DO
395 W Cougar Blvd Ste 205,
Provo, UT 84604-3328
(801) 357-1770
Not Available

Map and Direction




Physician's Profile

Full NameJessica D Wissenbach
GenderFemale
SpecialityFamily Medicine
Location395 W Cougar Blvd Ste 205, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114676004
  • Provider Enumeration Date: 03/20/2022
  • Last Update Date: 08/01/2024

Medical Identifiers

Medical identifiers for Jessica D Wissenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114676004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 13516654-1204 (Utah)Primary

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. Jessica D Wissenbach is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica D Wissenbach, DO
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Jessica D Wissenbach, DO
395 W Cougar Blvd Ste 205,
Provo, UT 84604-3328

Ph: (801) 357-1770

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).

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