Jenna M Maag, NP is a medicare enrolled "Nurse Practitioner - Family" in Philip, South Dakota. Her current practice location is
503 W Pine St, Philip, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 859-3875.
Jenna M Maag is licensed to practice in South Dakota (license number CP003038) 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 1891560538.
Provider's Profile
| Full Name | Jenna M Maag |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 503 W Pine St, Philip, South Dakota |
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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: 1891560538
- Provider Enumeration Date: 11/22/2023
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729424759
- Enrollment ID: I20240312003144
Medical Identifiers
Medical identifiers for Jenna M Maag such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891560538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | CP003038 (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. Jenna M Maag allows following entities to bill medicare on her behalf.
| Entity Name | Philip Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700838117
PECOS PAC ID: 7214831866
Enrollment ID: O20040528000675 |
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| Entity Name | Philip Health Services Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1750300646
PECOS PAC ID: 7214831866
Enrollment ID: O20100825001142 |
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| Entity Name | Philip Health Services Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1023193422
PECOS PAC ID: 7214831866
Enrollment ID: O20220802004112 |
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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 M Maag 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 M Maag, NP
650 Maryville University Dr,
Saint Louis, MO 63141-7299
Ph: (314) 529-9360 | Jenna M Maag, NP
503 W Pine St,
Philip, SD 57567-3300
Ph: (605) 859-3875 |
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