Jennie L Peters, PMHNP-BC, FNP in Kenosha, WI

Jennie L Peters, PMHNP-BC, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kenosha, Wisconsin. Her current practice location is 6032 40th Ave, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 287-1999.

Jennie L Peters is licensed to practice in Wisconsin (license number 2022152805) 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 1477743995.

Contact Information

	Jennie L Peters, PMHNP-BC, FNP
	6032 40th Ave, Kenosha, WI 53142-7018
	(262) 287-1999
	(262) 287-0884

Map and Direction

Provider's Profile

Full Name	Jennie L Peters
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6032 40th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477743995
Provider Enumeration Date: 07/31/2007
Last Update Date: 04/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1254423171
Enrollment ID: I20070823000600

Medical Identifiers

Medical identifiers for Jennie L Peters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477743995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2022152805 (Wisconsin)	Primary
363LF0000X	Nurse Practitioner - Family	3146 (Wisconsin)	Secondary

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. Jennie L Peters allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

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. Jennie L Peters 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
Jennie L Peters, PMHNP-BC, FNP 6032 40th Ave, Kenosha, WI 53142-7018 Ph: (262) 287-1999	Jennie L Peters, PMHNP-BC, FNP 6032 40th Ave, Kenosha, WI 53142-7018 Ph: (262) 287-1999

Reviews and Comments

Nurse Practitioner Nurses in Kenosha, WI

Mrs. Susan H. Pergande, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6714
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Christine Marie Foster, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142 Phone: 262-789-1191 Fax: 262-821-6180
Alejandra Moore, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314
Quentin R Kasuboski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560

Jennie L Peters, PMHNP-BC, FNP - Medicare Nurse Practitioner in Kenosha, WI