Jennifer Ann Lundgren, PMHNP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Shenandoah, Iowa. Her current practice location is
300 Pershing Ave, Shenandoah, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 246-7285.
Jennifer Ann Lundgren is licensed to practice in Iowa (license number G174269) 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 1104515311.
Provider's Profile
Full Name | Jennifer Ann Lundgren |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 300 Pershing Ave, Shenandoah, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104515311
- Provider Enumeration Date: 05/03/2023
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052779782
- Enrollment ID: I20230628000158
Medical Identifiers
Medical identifiers for Jennifer Ann Lundgren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104515311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 155203 (Iowa) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | G174269 (Iowa) | 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 Ann Lundgren allows following entities to bill medicare on her behalf.
Entity Name | Shenandoah Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497810972 PECOS PAC ID: 9436063237 Enrollment ID: O20040209000347 |
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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. Jennifer Ann Lundgren 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 |
Jennifer Ann Lundgren, PMHNP 300 Pershing Ave, Shenandoah, IA 51601-2355 Ph: (712) 246-7285 | Jennifer Ann Lundgren, PMHNP 300 Pershing Ave, Shenandoah, IA 51601-2355 Ph: (712) 246-7285 |
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