Jennifer A Davis, - Medicare Nurse Practitioner in Waupun, WI

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Jennifer A Davis, is a medicare enrolled "Nurse Practitioner - Gerontology" in Waupun, Wisconsin. Her current practice location is 160 Gateway Dr, Waupun, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 324-9899.

Jennifer A Davis is licensed to practice in Wisconsin (license number 7769) 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 1619490711.

Contact Information

Jennifer A Davis,
160 Gateway Dr,
Waupun, WI 53963-2276
(920) 324-9899
Not Available

Map and Direction




Provider's Profile

Full NameJennifer A Davis
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location160 Gateway Dr, Waupun, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619490711
  • Provider Enumeration Date: 07/20/2017
  • Last Update Date: 10/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456625763
  • Enrollment ID: I20170926002458

Medical Identifiers

Medical identifiers for Jennifer A Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619490711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 7769 (Wisconsin)Secondary
363LG0600XNurse Practitioner - Gerontology 7769 (Wisconsin)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. Jennifer A Davis allows following entities to bill medicare on her behalf.
Entity NameNew Medical Center, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093368607
PECOS PAC ID: 8022440973
Enrollment ID: O20191114000095

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. Jennifer A Davis 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 AddressPractice Location Address
Jennifer A Davis,
160 Gateway Dr,
Waupun, WI 53963-2276

Ph: (920) 324-9899		Jennifer A Davis,
160 Gateway Dr,
Waupun, WI 53963-2276

Ph: (920) 324-9899

Reviews and Comments


Nurse Practitioner Nurses in Waupun, WI

Ms. Mary Ann Gorske, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 S Madison St, Waupun, WI 53963
Phone: 920-324-5571    
Stephanie Lynn Bush, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 160 Gateway Dr, Waupun, WI 53963
Phone: 920-324-9899    Fax: 920-324-9899
Jessica Y Sullivan, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    Fax: 920-324-9765
Ms. Melissa A. Johnson, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 W Lincoln St, Waupun, WI 53963
Phone: 920-324-6290    
Samantha L Thiede, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    
Peggy L Keuler, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 W Lincoln St, Waupun, WI 53963
Phone: 920-324-5577    
Brie K Strook, FNP, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 180 Gateway Dr, Waupun, WI 53963
Phone: 920-345-1306    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.