Jennifer Marie Truesdale, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Homewood, Illinois. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Of Indiana Llc and her current practice location is
18646 Golfview Ave, Homewood, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 337-0558.
Jennifer Marie Truesdale is licensed to practice in Indiana (license number 088037) 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 1447526322.
Provider's Profile
| Full Name | Jennifer Marie Truesdale |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 13 Years |
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| Location | 18646 Golfview Ave, Homewood, Illinois |
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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 Marie Truesdale graduated from nursing school in 2011
NPI Data:
- NPI Number: 1447526322
- Provider Enumeration Date: 03/26/2012
- Last Update Date: 04/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 4183886765
- Enrollment ID: I20120426000353
Medical Identifiers
Medical identifiers for Jennifer Marie Truesdale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447526322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 28200184A (Indiana) | Secondary |
| 163W00000X | Registered Nurse | 041351556 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 088037 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northstar Anesthesia Of Indiana Llc | 1153576905 | 115 |
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 Marie Truesdale allows following entities to bill medicare on her behalf.
| Entity Name | Northstar Anesthesia Of Indiana Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043561541
PECOS PAC ID: 1153576905
Enrollment ID: O20130227000297 |
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| Entity Name | Northstar Anesthesia Of Indiana Ii Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629475421
PECOS PAC ID: 6305161654
Enrollment ID: O20150210000088 |
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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 Marie Truesdale 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 Marie Truesdale,
18646 Golfview Ave,
Homewood, IL 60430-3608
Ph: () - | Jennifer Marie Truesdale,
18646 Golfview Ave,
Homewood, IL 60430-3608
Ph: (708) 337-0558 |
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