Jacqueline Deffenbaugh, APN, WHNP in Bloomington, IL

Jacqueline Deffenbaugh, APN, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Bloomington, Illinois. She graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osf Multi-specialty Group, Advanced Womens Healthcare Sc and her current practice location is 2304 Stern Dr, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 663-0411.

Jacqueline Deffenbaugh is licensed to practice in Illinois (license number 209002146) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174535306.

Contact Information

	Jacqueline Deffenbaugh, APN, WHNP
	2304 Stern Dr, Bloomington, IL 61704-4487
	(309) 663-0411
	(309) 662-2018

Map and Direction

Provider's Profile

Full Name	Jacqueline Deffenbaugh
Gender	Female
Speciality	Nurse Practitioner
Experience	29 Years
Location	2304 Stern Dr, Bloomington, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Deffenbaugh graduated from nursing school in 1995

NPI Data:

NPI Number: 1174535306
Provider Enumeration Date: 08/13/2006
Last Update Date: 03/31/2010

Medicare PECOS Information:

PECOS PAC ID: 3072587997
Enrollment ID: I20040825000494

Medical Identifiers

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

Identifier	Type	State	Issuer
1174535306	NPI	-	NPPES
216064	Other		MEDICARE GROUP PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	209002146 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Central Dupage Hospital	Winfield, IL	Hospital
St Joseph Medical Center	Bloomington, IL	Hospital
Advocate Bromenn Medical Center	Normal, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1552
Advanced Womens Healthcare Sc	9133379340	8

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 Deffenbaugh allows following entities to bill medicare on her behalf.

Entity Name	Advanced Womens Healthcare Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376890426 PECOS PAC ID: 9133379340 Enrollment ID: O20121024000746

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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 Deffenbaugh 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 Deffenbaugh, APN, WHNP 2304 Stern Dr, Bloomington, IL 61704-4487 Ph: (309) 663-0411	Jacqueline Deffenbaugh, APN, WHNP 2304 Stern Dr, Bloomington, IL 61704-4487 Ph: (309) 663-0411

Reviews and Comments

Nurse Practitioner Nurses in Bloomington, IL

Theresa Kauth, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808
Cheryl Hansen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-454-4411
Carey Harris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026
Elizabeth Jeanne Robert, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804
Ms. Linda Kay Wall, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701 Phone: 309-827-4014 Fax: 309-828-6626
Amy O'brien, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-3360 Fax: 309-661-3390
Mrs. Sonal Mukesh Patel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3800

Jacqueline Deffenbaugh, APN, WHNP - Medicare Nurse Practitioner in Bloomington, IL