Jade Altman Mikshowsky, DNP, APRN is a medicare enrolled "Nurse Practitioner" in West Salem, Wisconsin. Her current practice location is
1580 Heritage Blvd, West Salem, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 518-3410.
Jade Altman Mikshowsky is licensed to practice in Wisconsin (license number 12222) 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 1881181931.
Provider's Profile
| Full Name | Jade Altman Mikshowsky |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1580 Heritage Blvd, West Salem, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881181931
- Provider Enumeration Date: 04/15/2018
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840540480
- Enrollment ID: I20240717004710
Medical Identifiers
Medical identifiers for Jade Altman Mikshowsky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881181931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 5911 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | 12222 (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. Jade Altman Mikshowsky allows following entities to bill medicare on her behalf.
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629056049
PECOS PAC ID: 0345152443
Enrollment ID: O20031110000684 |
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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. Jade Altman Mikshowsky 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 |
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Jade Altman Mikshowsky, DNP, APRN
309 Lark Ln,
West Salem, WI 54669-1243
Ph: (507) 251-7145 | Jade Altman Mikshowsky, DNP, APRN
1580 Heritage Blvd,
West Salem, WI 54669-9418
Ph: (608) 518-3410 |
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