Jenna Lavin Dobling, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pewaukee, Wisconsin. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Olympic Anesthesia Services, Inc, Washington Gastroenterology Pllc and her current practice location is
N15w28300 Golf Rd, Pewaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 303-5055.
Jenna Lavin Dobling is licensed to practice in Wisconsin (license number 14690-33) 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 1821348822.
Provider's Profile
| Full Name | Jenna Lavin Dobling |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 12 Years |
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| Location | N15w28300 Golf Rd, Pewaukee, Wisconsin |
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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 Lavin Dobling graduated from nursing school in 2012
NPI Data:
- NPI Number: 1821348822
- Provider Enumeration Date: 09/17/2012
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456506716
- Enrollment ID: I20201022003013
Medical Identifiers
Medical identifiers for Jenna Lavin Dobling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821348822 | NPI | - | NPPES |
| 100292265 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 148562-30 (Wisconsin) | Secondary |
| 163W00000X | Registered Nurse | RN2280800 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024171651 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 14690-33 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Olympic Anesthesia Services, Inc | 4587551064 | 33 |
| Washington Gastroenterology Pllc | 6204194848 | 111 |
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 Lavin Dobling allows following entities to bill medicare on her behalf.
| Entity Name | Olympic Anesthesia Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275586125
PECOS PAC ID: 4587551064
Enrollment ID: O20040301000362 |
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| Entity Name | Washington Gastroenterology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306364401
PECOS PAC ID: 6204194848
Enrollment ID: O20180103000884 |
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| Entity Name | Silverdale Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598327322
PECOS PAC ID: 1850623653
Enrollment ID: O20191028003223 |
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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 Lavin Dobling 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 Lavin Dobling, CRNA
N15w28300 Golf Rd,
Pewaukee, WI 53072-4800
Ph: (262) 303-5055 | Jenna Lavin Dobling, CRNA
N15w28300 Golf Rd,
Pewaukee, WI 53072-4800
Ph: (262) 303-5055 |
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