Jennifer R Zack, NP - Medicare Nurse Practitioner in Indianapolis, IN

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Jennifer R Zack, NP is a medicare enrolled "Nurse Practitioner - Neonatal" in Indianapolis, Indiana. Her current practice location is 1500 N Ritter Ave, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 274-4779.

Jennifer R Zack is licensed to practice in Indiana (license number 71015479A) 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 1578187217.

Contact Information

Jennifer R Zack, NP
1500 N Ritter Ave,
Indianapolis, IN 46219-3027
(317) 274-4779
(317) 948-9806

Map and Direction




Provider's Profile

Full NameJennifer R Zack
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location1500 N Ritter Ave, Indianapolis, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578187217
  • Provider Enumeration Date: 05/28/2020
  • Last Update Date: 09/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486065430
  • Enrollment ID: I20201123001378

Medical Identifiers

Medical identifiers for Jennifer R Zack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578187217NPI-NPPES
300084977MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0005XNurse Practitioner - Neonatal, Critical Care 10293 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 209.021197 (Illinois)Secondary
363LN0000XNurse Practitioner - Neonatal 209.021197 (Illinois)Secondary
363LN0000XNurse Practitioner - Neonatal 28181007A (Indiana)Secondary
363LN0005XNurse Practitioner - Neonatal, Critical Care 209.021197 (Illinois)Secondary
363LN0000XNurse Practitioner - Neonatal 71015479A (Indiana)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 R Zack allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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 R Zack 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 R Zack, NP
Po Box 778912,
Chicago, IL 60677-8912

Ph: (317) 777-6435		Jennifer R Zack, NP
1500 N Ritter Ave,
Indianapolis, IN 46219-3027

Ph: (317) 274-4779

Reviews and Comments


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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.