Jennifer L Killeen, CNM is a medicare enrolled "Midwife" in Milwaukee, Wisconsin. Her current practice location is
3727 W Wisconsin Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 291-2626.
Jennifer L Killeen is licensed to practice in Wisconsin (license number 148825-32) 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 1972750578.
Provider's Profile
Full Name | Jennifer L Killeen |
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Gender | Female |
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Speciality | Midwife |
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Location | 3727 W Wisconsin Ave, Milwaukee, Wisconsin |
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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: 1972750578
- Provider Enumeration Date: 08/26/2008
- Last Update Date: 07/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 3173691656
- Enrollment ID: I20160316001388
Medical Identifiers
Medical identifiers for Jennifer L Killeen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972750578 | NPI | - | NPPES |
36091200 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 146124-030 (Wisconsin) | Secondary |
176B00000X | Midwife | 148825-32 (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 L Killeen allows following entities to bill medicare on her behalf.
Entity Name | Mercy Womens Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629327788 PECOS PAC ID: 2466699814 Enrollment ID: O20130502000534 |
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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 L Killeen 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 L Killeen, CNM 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 Ph: (414) 291-2626 | Jennifer L Killeen, CNM 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 Ph: (414) 291-2626 |
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