Jean M Knudsen, CNP is a medicare enrolled "Nurse Practitioner" in Olmsted Falls, Ohio. Her current practice location is
26376 John Rd, Olmsted Falls, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 235-7101.
Jean M Knudsen is licensed to practice in Ohio (license number COA 10790 NP) 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 1992032460.
Provider's Profile
| Full Name | Jean M Knudsen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 26376 John Rd, Olmsted Falls, Ohio |
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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: 1992032460
- Provider Enumeration Date: 11/04/2009
- Last Update Date: 11/04/2009
Medicare PECOS Information:
- PECOS PAC ID: 2365581451
- Enrollment ID: I20091203000001
Medical Identifiers
Medical identifiers for Jean M Knudsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992032460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | COA 10790 NP (Ohio) | 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. Jean M Knudsen allows following entities to bill medicare on her behalf.
| Entity Name | Stark Recovery Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912641481
PECOS PAC ID: 6002272309
Enrollment ID: O20230511000604 |
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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. Jean M Knudsen 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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Jean M Knudsen, CNP
Po Box 246,
North Olmsted, OH 44070-0246
Ph: (440) 250-7301 | Jean M Knudsen, CNP
26376 John Rd,
Olmsted Falls, OH 44138-1277
Ph: (440) 235-7101 |
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