Jennifer L Lakeberg, PNP - Medicare Nurse Practitioner in Dayton, OH

Jennifer L Lakeberg, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Dayton, Ohio. Her current practice location is 1 Childrens Plz, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 641-3600.

Jennifer L Lakeberg is licensed to practice in Ohio (license number APRN.CNP.14477) 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 1295168409.

Contact Information

Jennifer L Lakeberg, PNP
1 Childrens Plz,
Dayton, OH 45404-1815
(937) 641-3600
(937) 641-5802

Map and Direction




Provider's Profile

Full NameJennifer L Lakeberg
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1 Childrens Plz, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295168409
  • Provider Enumeration Date: 08/12/2013
  • Last Update Date: 01/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799908075
  • Enrollment ID: I20140514002090

Medical Identifiers

Medical identifiers for Jennifer L Lakeberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295168409NPI-NPPES
0102190MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN.CNP.14477 (Ohio)Secondary
363LP0200XNurse Practitioner - Pediatrics APRN.CNP.14477 (Ohio)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 Lakeberg allows following entities to bill medicare on her behalf.
Entity NameDayton Childrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730392309
PECOS PAC ID: 5496792418
Enrollment ID: O20050412000416
Entity NameDayton Childrens Specialty Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225192610
PECOS PAC ID: 5496916124
Enrollment ID: O20181024001690
Entity NameMercy Health Physicians Cincinnati Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154942795
PECOS PAC ID: 3971907759
Enrollment ID: O20210802003370

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 Lakeberg 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 AddressPractice Location Address
Jennifer L Lakeberg, PNP
Po Box 933432,
Cleveland, OH 44193-0039

Ph: (937) 641-3000
Jennifer L Lakeberg, PNP
1 Childrens Plz,
Dayton, OH 45404-1815

Ph: (937) 641-3600

Reviews and Comments


Nurse Practitioner Nurses in Dayton, OH

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Phone: 937-223-4461    Fax: 937-449-7603
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Practice Location: 5981 Far Hills Ave, Dayton, OH 45429
Phone: 937-438-5954    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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