Jazmyn Soukup, DNP in Wagner, SD - Medicare Nurse Practitioner

Jazmyn Soukup, DNP is a medicare enrolled "Nurse Practitioner" in Wagner, South Dakota. Her current practice location is 513 3rd St Sw, Wagner, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 384-3611.

Jazmyn Soukup is licensed to practice in South Dakota (license number CP002863) 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 1154008332.

Contact Information

	Jazmyn Soukup, DNP
	513 3rd St Sw, Wagner, SD 57380-9675
	(605) 384-3611
	Not Available

Map and Direction

Provider's Profile

Full Name	Jazmyn Soukup
Gender	Female
Speciality	Nurse Practitioner
Location	513 3rd St Sw, Wagner, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154008332
Provider Enumeration Date: 06/29/2023
Last Update Date: 05/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4688036809
Enrollment ID: I20230818002208

Medical Identifiers

Medical identifiers for Jazmyn Soukup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154008332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	CP002863 (South Dakota)	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. Jazmyn Soukup allows following entities to bill medicare on her behalf.

Entity Name	Wagner Community Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740306992 PECOS PAC ID: 3577459700 Enrollment ID: O20040225000391

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. Jazmyn Soukup 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
Jazmyn Soukup, DNP 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3418	Jazmyn Soukup, DNP 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3611

Reviews and Comments

Nurse Practitioner Nurses in Wagner, SD

Lindsey Nedved, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611
Carol Lee Stewart, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd Street Sw, Wagner, SD 57380 Phone: 605-384-3611
Ashley Marie Ruhaak, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611
Jessica M Vanderham, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611
Brooke Lynn Plooster, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 Fax: 605-384-5240
Ryan Kocer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611

Jazmyn Soukup, DNP - Medicare Nurse Practitioner in Wagner, SD