Dipti R Jethani, PMHNP in Milwaukee, WI - Medicare Nurse Practitioner

Dipti R Jethani, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Milwaukee, Wisconsin. Her current practice location is 5000 W National Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 384-2000.

Dipti R Jethani is licensed to practice in Wisconsin (license number 5645-33) 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 1073936811.

Contact Information

	Dipti R Jethani, PMHNP
	5000 W National Ave, Milwaukee, WI 53295-1000
	(414) 384-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dipti R Jethani
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5000 W National Ave, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073936811
Provider Enumeration Date: 01/30/2014
Last Update Date: 01/30/2014

Medicare PECOS Information:

PECOS PAC ID: 8123315298
Enrollment ID: I20160919000717

Medical Identifiers

Medical identifiers for Dipti R Jethani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073936811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5645-33 (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. Dipti R Jethani allows following entities to bill medicare on her behalf.

Entity Name	Banner Physician Specialists Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509

Entity Name	Banner Hospital Based Physicians Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752

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. Dipti R Jethani 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
Dipti R Jethani, PMHNP 305 N 95th St, Apt 123, Milwaukee, WI 53226-4478 Ph: (732) 895-0926	Dipti R Jethani, PMHNP 5000 W National Ave, Milwaukee, WI 53295-1000 Ph: (414) 384-2000

Reviews and Comments

Nurse Practitioner Nurses in Milwaukee, WI

Ms. Leslie L. Talbert, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Critical Care, Milwaukee, WI 53226 Phone: 414-266-3360 Fax: 414-266-3563
Andrienne M Delaney, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10701 W Research Dr, Milwaukee, WI 53226 Phone: 262-366-2903 Fax: 888-288-4890
Mrs. Karen Elizabeth Mcnerney, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1555 N Rivercenter Dr Ste 206, Milwaukee, WI 53212 Phone: 414-231-1180 Fax: 414-272-5617
Mrs. Anne E B Lakatos, APN-BC, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Internal Medicine, Milwaukee, WI 53226 Phone: 414-805-6850 Fax: 414-805-6851
Mrs. Amanda M Manders, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6850 Fax: 414-805-6864
Tracy L Kersten, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-4600 Fax: 414-805-6808
Ms. Michelle Seavers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000

Dipti R Jethani, PMHNP - Medicare Nurse Practitioner in Milwaukee, WI