Jacqueline Ann Jorgenson, in Baldwin, WI - Medicare Nurse Practitioner

Jacqueline Ann Jorgenson, is a medicare enrolled "Nurse Practitioner" in Baldwin, Wisconsin. Her current practice location is 1100 Bergslien St, Baldwin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 684-1553.

Jacqueline Ann Jorgenson is licensed to practice in Wisconsin (license number 13391) 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 1689385577.

Contact Information

	Jacqueline Ann Jorgenson,
	1100 Bergslien St, Baldwin, WI 54002-2600
	(715) 684-1553
	(715) 684-1119

Map and Direction

Provider's Profile

Full Name	Jacqueline Ann Jorgenson
Gender	Female
Speciality	Nurse Practitioner
Location	1100 Bergslien St, Baldwin, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689385577
Provider Enumeration Date: 12/12/2022
Last Update Date: 12/29/2023

Medicare PECOS Information:

PECOS PAC ID: 6406229947
Enrollment ID: I20230302001660

Medical Identifiers

Medical identifiers for Jacqueline Ann Jorgenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689385577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	228561 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	13391 (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. Jacqueline Ann Jorgenson allows following entities to bill medicare on her behalf.

Entity Name	Baldwin Area Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467496133 PECOS PAC ID: 7911800586 Enrollment ID: O20040310000505

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. Jacqueline Ann Jorgenson 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
Jacqueline Ann Jorgenson, 1100 Bergslien St, Baldwin, WI 54002-2600 Ph: (715) 684-1553	Jacqueline Ann Jorgenson, 1100 Bergslien St, Baldwin, WI 54002-2600 Ph: (715) 684-1553

Reviews and Comments

Nurse Practitioner Nurses in Baldwin, WI

Abbey Arndt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119
Alicia Sund, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1111
Andrea D'angelo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111
Karissa Hanson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 660 Vandeberg St, Baldwin, WI 54002 Phone: 156-847-4117
Erika Holbrook, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119
Emily Veenendaal, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111
Karli Rae Kerrschneider, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119

Jacqueline Ann Jorgenson, - Medicare Nurse Practitioner in Baldwin, WI