Jenna Gross, NP is a medicare enrolled "Nurse Practitioner - Family" in Blackduck, Minnesota. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Phs Indian Hospital and her current practice location is
81 1st St Nw, Blackduck, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 835-4222.
Jenna Gross is licensed to practice in Minnesota (license number 3964) 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 1629451869.
Provider's Profile
| Full Name | Jenna Gross |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 81 1st St Nw, Blackduck, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jenna Gross graduated from nursing school in 2015
NPI Data:
- NPI Number: 1629451869
- Provider Enumeration Date: 07/07/2015
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981912383
- Enrollment ID: I20240221002881
Medical Identifiers
Medical identifiers for Jenna Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629451869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3964 (Minnesota) | Primary |
| 363L00000X | Nurse Practitioner | R 199200-7 (Minnesota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phs Indian Hospital | 4789598731 | 21 |
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. Jenna Gross allows following entities to bill medicare on her behalf.
| Entity Name | Phs Indian Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508809765
PECOS PAC ID: 4789598731
Enrollment ID: O20031114000287 |
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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. Jenna Gross 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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Jenna Gross, NP
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Jenna Gross, NP
81 1st St Nw,
Blackduck, MN 56630-2228
Ph: (218) 835-4222 |
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