Jaclyn T Peissig, NP - Medicare Nurse Practitioner in Menomonie, WI

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Jaclyn T Peissig, NP is a medicare enrolled "Nurse Practitioner" in Menomonie, Wisconsin. Her current practice location is 103 1st Ave W, Menomonie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 232-1314.

Jaclyn T Peissig is licensed to practice in Wisconsin (license number 13831-33) 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 1790471332.

Contact Information

Jaclyn T Peissig, NP
103 1st Ave W,
Menomonie, WI 54751-1876
(715) 232-1314
Not Available

Map and Direction




Provider's Profile

Full NameJaclyn T Peissig
GenderFemale
SpecialityNurse Practitioner
Location103 1st Ave W, Menomonie, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790471332
  • Provider Enumeration Date: 04/17/2023
  • Last Update Date: 06/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466816624
  • Enrollment ID: I20230907000658

Medical Identifiers

Medical identifiers for Jaclyn T Peissig such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790471332NPI-NPPES
100248089MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 13831-33 (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. Jaclyn T Peissig allows following entities to bill medicare on her behalf.
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034
Entity NameSacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619355351
PECOS PAC ID: 8729072418
Enrollment ID: O20150814013380

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. Jaclyn T Peissig 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
Jaclyn T Peissig, NP
1702 Fox Run,
Menomonie, WI 54751-1401

Ph: () -		Jaclyn T Peissig, NP
103 1st Ave W,
Menomonie, WI 54751-1876

Ph: (715) 232-1314

Reviews and Comments


Nurse Practitioner Nurses in Menomonie, WI

Kristin L. Rubenzer, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2919 Stout Rd, Menomonie, WI 54751
Phone: 715-309-4451    
Kalie R Townsend, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2321 Stout Rd, Menomonie, WI 54751
Phone: 715-838-5222    
Amanda Sue Molback, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2321 Stout Rd, Menomonie, WI 54751
Phone: 715-235-5531    Fax: 715-233-7645
Christine E. Morgan, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2321 Stout Rd, Menomonie, WI 54751
Phone: 715-233-7777    
Julie Wiensch, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Wilson Ave, Menomonie, WI 54751
Phone: 715-232-2388    Fax: 715-232-1132
Bethany Geske, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 103 1st Ave W, Menomonie, WI 54751
Phone: 715-232-1314    
Julie Locke, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2321 Stout Rd, Menomonie, WI 54751
Phone: 715-235-5531    

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.