Elizabeth Jean Wierenga, PA-C is a
Student In An Organized Health Care Education/training Program based in Jackson, Michigan. Elizabeth Jean Wierenga is licensed to practice in * (Not Available) (license number ) and her current practice location is
875 Laurence Ave, Jackson, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 787-0544.
NPI number for Elizabeth Jean Wierenga is 1760951321 and her current mailing address is 7883 Sears Rd, Horton, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760951321.
Provider's Profile
Full Name | Elizabeth Jean Wierenga |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 875 Laurence Ave, Jackson, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760951321
- Provider Enumeration Date: 11/13/2018
- Last Update Date: 05/25/2022
Medical Identifiers
Medical identifiers for Elizabeth Jean Wierenga such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760951321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601010978 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Elizabeth Jean Wierenga 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 Address | Practice Location Address |
Elizabeth Jean Wierenga, PA-C 7883 Sears Rd, Horton, MI 49246-9513 Ph: (517) 563-2072 | Elizabeth Jean Wierenga, PA-C 875 Laurence Ave, Jackson, MI 49202-2966 Ph: (517) 787-0544 |
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