Jennifer Eunice Mola, in Portage, IN - Medicare Nurse Practitioner

Jennifer Eunice Mola, is a medicare enrolled "Nurse Practitioner - Family" in Portage, Indiana. Her current practice location is 6131 Us Highway 6, Portage, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 841-9788.

Jennifer Eunice Mola is licensed to practice in Indiana (license number 28207864A) 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 1093430365.

Contact Information

	Jennifer Eunice Mola,
	6131 Us Highway 6, Portage, IN 46368-5058
	(219) 841-9788
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Eunice Mola
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6131 Us Highway 6, Portage, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093430365
Provider Enumeration Date: 10/07/2022
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 5799152252
Enrollment ID: I20221114000971

Medical Identifiers

Medical identifiers for Jennifer Eunice Mola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093430365	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28207864A (Indiana)	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 Eunice Mola allows following entities to bill medicare on her behalf.

Entity Name	Nwi Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043596703 PECOS PAC ID: 7618142977 Enrollment ID: O20111214000990

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 Eunice Mola 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 Eunice Mola, 6131 Us Highway 6, Portage, IN 46368-5058 Ph: (219) 841-9788	Jennifer Eunice Mola, 6131 Us Highway 6, Portage, IN 46368-5058 Ph: (219) 841-9788

Reviews and Comments

Nurse Practitioner Nurses in Portage, IN

Lauren A Ostrowski-winkler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3564 Scottsdale St, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-3251
Roxanne Gayle Robinson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3691 Willowcreek Rd, Portage, IN 46368 Phone: 219-921-1444 Fax: 219-921-5303
Jeanne B Schramm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3175 Lancer St, Portage, IN 46368 Phone: 219-762-9571
Sara Elizabeth Berry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6450 Us Highway 6, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-6348
Sheila Watson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6628
Jessica Rose Baldwin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112
Patricia Evelyn Biel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6385 Fax: 219-703-6787

Jennifer Eunice Mola, - Medicare Nurse Practitioner in Portage, IN