Jennifer Hoffman, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Utica, Illinois. Her current practice location is
740 E Us Highway 6 Ste B, Utica, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 310-5750.
Jennifer Hoffman is licensed to practice in Illinois (license number 277002865) 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 1578940524.
Provider's Profile
Full Name | Jennifer Hoffman |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 740 E Us Highway 6 Ste B, Utica, Illinois |
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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: 1578940524
- Provider Enumeration Date: 04/29/2015
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254651730
- Enrollment ID: I20150523000055
Medical Identifiers
Medical identifiers for Jennifer Hoffman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578940524 | NPI | - | NPPES |
209012754 | Other | IL | ILLINOIS STATE ADVANCED PRACTICE NURSE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277002865 (Illinois) | 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 Hoffman allows following entities to bill medicare on her behalf.
Entity Name | Julia Rackley Perry Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619934833 PECOS PAC ID: 1153312798 Enrollment ID: O20040525000980 |
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Entity Name | Encounter Telehealth Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922342195 PECOS PAC ID: 9931348307 Enrollment ID: O20170407000860 |
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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 Hoffman 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 Hoffman, APN 530 Park Ave E, Princeton, IL 61356-3901 Ph: (815) 875-4531 | Jennifer Hoffman, APN 740 E Us Highway 6 Ste B, Utica, IL 61373-9755 Ph: (815) 310-5750 |
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