Jenelle Kubiak, MSN, RN, APNP in Burr Ridge, IL

Jenelle Kubiak, MSN, RN, APNP is a medicare enrolled "Nurse Practitioner - Family" in Burr Ridge, Illinois. Her current practice location is 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 818-4650.

Jenelle Kubiak is licensed to practice in Illinois (license number 209028017) 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 1760967525.

Contact Information

	Jenelle Kubiak, MSN, RN, APNP
	1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527-0864
	(312) 818-4650
	Not Available

Map and Direction

Provider's Profile

Full Name	Jenelle Kubiak
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1000 Burr Ridge Pkwy Ste 201, Burr Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760967525
Provider Enumeration Date: 09/27/2018
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7315489564
Enrollment ID: I20240604001217

Medical Identifiers

Medical identifiers for Jenelle Kubiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760967525	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	220319-30 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	209028017 (Illinois)	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. Jenelle Kubiak allows following entities to bill medicare on her behalf.

Entity Name	Vpa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174925663 PECOS PAC ID: 9234041948 Enrollment ID: O20040312001189

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. Jenelle Kubiak 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
Jenelle Kubiak, MSN, RN, APNP Po Box 639295 Dept 93394, Cincinnati, OH 45263-9295 Ph: (248) 266-4200	Jenelle Kubiak, MSN, RN, APNP 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527-0864 Ph: (312) 818-4650

Reviews and Comments

Nurse Practitioner Nurses in Burr Ridge, IL

Ruchi Savani, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1333 Burr Ridge Pkwy, Burr Ridge, IL 60527 Phone: 630-550-2003
Mrs. Rosemary White, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527 Phone: 312-818-4650 Fax: 855-618-2629
Mrs. Patricia Summers, MSN, AGPCNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527 Phone: 248-266-4200 Fax: 855-618-6655
Elizabeth A Rochford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6101 S County Line Rd, Burr Ridge, IL 60527 Phone: 630-686-9000 Fax: 844-235-2578
Andrew Richardson, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527 Phone: 773-702-1150
Ms. Dyenina Daleon Donnelly, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527 Phone: 630-832-1775 Fax: 630-832-3078
Kelly Kashani, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527 Phone: 630-832-1775

Jenelle Kubiak, MSN, RN, APNP - Medicare Nurse Practitioner in Burr Ridge, IL