Jennifer M Gudgel, APRN - Medicare Nurse Practitioner in Jacksonville, IL

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Jennifer M Gudgel, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Illinois. Her current practice location is 901 W Morton Ave Ste 22, Jacksonville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 588-6140.

Jennifer M Gudgel is licensed to practice in Illinois (license number 209026802) 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 1720793052.

Contact Information

Jennifer M Gudgel, APRN
901 W Morton Ave Ste 22,
Jacksonville, IL 62650-4021
(217) 588-6140
(217) 527-3043

Map and Direction




Provider's Profile

Full NameJennifer M Gudgel
GenderFemale
SpecialityNurse Practitioner - Family
Location901 W Morton Ave Ste 22, Jacksonville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720793052
  • Provider Enumeration Date: 01/20/2023
  • Last Update Date: 10/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456724574
  • Enrollment ID: I20230309003023

Medical Identifiers

Medical identifiers for Jennifer M Gudgel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720793052NPI-NPPES
209.026802OtherILAPN
041393189OtherILRN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041393189 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209026802 (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 M Gudgel allows following entities to bill medicare on her behalf.
Entity NameMemorial Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417922964
PECOS PAC ID: 9032005681
Enrollment ID: O20040223000454
Entity NameToofan Medical Holdings Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396179693
PECOS PAC ID: 6800026006
Enrollment ID: O20140310001343

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 M Gudgel 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 M Gudgel, APRN
901 W Morton Ave Ste 22,
Jacksonville, IL 62650-4021

Ph: (217) 588-6140		Jennifer M Gudgel, APRN
901 W Morton Ave Ste 22,
Jacksonville, IL 62650-4021

Ph: (217) 588-6140

Reviews and Comments


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Elizabeth Wade, NP
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Practice Location: 1600 W Morton Ave, Jacksonville, IL 62650
Phone: 217-528-7541    
Lindsey M Wright,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 W Morton Ave Ste 22, Jacksonville, IL 62650
Phone: 217-588-6140    Fax: 217-588-3043

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.