Jennifer N Charles, in Green Bay, WI - Medicare Nurse Practitioner

Jennifer N Charles, is a medicare enrolled "Nurse Practitioner" in Green Bay, Wisconsin. Her current practice location is 2793 Lineville Rd, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Jennifer N Charles is licensed to practice in Wisconsin (license number 6649-33) 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 1205205424.

Contact Information

	Jennifer N Charles,
	2793 Lineville Rd, Green Bay, WI 54313-7152
	(920) 496-4700
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer N Charles
Gender	Female
Speciality	Nurse Practitioner
Location	2793 Lineville Rd, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205205424
Provider Enumeration Date: 09/17/2015
Last Update Date: 10/14/2015

Medicare PECOS Information:

PECOS PAC ID: 9537478003
Enrollment ID: I20151023000370

Medical Identifiers

Medical identifiers for Jennifer N Charles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205205424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	168869 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	6649-33 (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 N Charles allows following entities to bill medicare on her behalf.

Entity Name	Prevea Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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 N Charles 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 N Charles, 2793 Lineville Rd, Green Bay, WI 54313-7152 Ph: (920) 496-4700	Jennifer N Charles, 2793 Lineville Rd, Green Bay, WI 54313-7152 Ph: (920) 496-4700

Reviews and Comments

Nurse Practitioner Nurses in Green Bay, WI

Elizabeth Ostoja, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1976 Lime Kiln Rd, Green Bay, WI 54311 Phone: 920-445-7377 Fax: 920-592-9479
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Mrs. Kristen Kay Lampe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301 Phone: 920-433-7488
Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800
Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301

Jennifer N Charles, - Medicare Nurse Practitioner in Green Bay, WI