Jennifer Gayle Polacek, APNP-BC is a medicare enrolled "Nurse Practitioner" in Athens, Wisconsin. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aspirus Medford Hospital And Clinics Inc and her current practice location is
729 Pine St, Athens, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 257-1686.
Jennifer Gayle Polacek is licensed to practice in Wisconsin (license number 11270-33) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508535360.
Provider's Profile
| Full Name | Jennifer Gayle Polacek |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 729 Pine St, Athens, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer Gayle Polacek graduated from nursing school in 2021
NPI Data:
- NPI Number: 1508535360
- Provider Enumeration Date: 09/07/2021
- Last Update Date: 09/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 0941699938
- Enrollment ID: I20211112001264
Medical Identifiers
Medical identifiers for Jennifer Gayle Polacek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508535360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 11270-33 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aspirus Medford Hospital And Clinics Inc | 5799688602 | 66 |
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 Gayle Polacek allows following entities to bill medicare on her behalf.
| Entity Name | Aspirus Medford Hospital & Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007 |
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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 Gayle Polacek 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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Jennifer Gayle Polacek, APNP-BC
W1692 Fawn Ave,
Rib Lake, WI 54470-9615
Ph: (715) 560-0193 | Jennifer Gayle Polacek, APNP-BC
729 Pine St,
Athens, WI 54411-9305
Ph: (715) 257-1686 |
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