Joanne L Wennstrom, APRN-CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Omaha, Nebraska. Her current practice location is
8200 Dodge St, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 955-5400.
Joanne L Wennstrom is licensed to practice in Nebraska (license number 113105) 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 1235645003.
Physician's Profile
Full Name | Joanne L Wennstrom |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 8200 Dodge St, Omaha, Nebraska |
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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: 1235645003
- Provider Enumeration Date: 12/15/2017
- Last Update Date: 07/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 0547520827
- Enrollment ID: I20180206000395
Medical Identifiers
Medical identifiers for Joanne L Wennstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235645003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | F382758-1 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 113105 (Nebraska) | 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. Joanne L Wennstrom allows following entities to bill medicare on her behalf.
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
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Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
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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. Joanne L Wennstrom 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 |
Joanne L Wennstrom, APRN-CPNP-PC 8200 Dodge St, Omaha, NE 68114-4113 Ph: (402) 955-7450 | Joanne L Wennstrom, APRN-CPNP-PC 8200 Dodge St, Omaha, NE 68114-4113 Ph: (402) 955-5400 |
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