Jerret Kolesar, RN - Medicare Nurse Practitioner in Warren, OH

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Jerret Kolesar, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Warren, Ohio. His current practice location is 1716 North Rd Se, Warren, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 574-8673.

Jerret Kolesar is licensed to practice in Ohio (license number RN.312167) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104558840.

Contact Information

Jerret Kolesar, RN
1716 North Rd Se,
Warren, OH 44484-2907
(330) 574-8673
Not Available

Map and Direction




Provider's Profile

Full NameJerret Kolesar
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1716 North Rd Se, Warren, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104558840
  • Provider Enumeration Date: 06/30/2022
  • Last Update Date: 01/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0345685186
  • Enrollment ID: I20240301003427

Medical Identifiers

Medical identifiers for Jerret Kolesar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104558840NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health RN.312167 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN.312167 (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. Jerret Kolesar allows following entities to bill medicare on his behalf.
Entity NameOpen Water Counseling And Recovery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932747888
PECOS PAC ID: 8527487750
Enrollment ID: O20201007001578

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. Jerret Kolesar 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
Jerret Kolesar, RN
615 Angiline Dr,
Boardman, OH 44512-6569

Ph: (330) 503-1549		Jerret Kolesar, RN
1716 North Rd Se,
Warren, OH 44484-2907

Ph: (330) 574-8673

Reviews and Comments


Nurse Practitioner Nurses in Warren, OH

Virginia Renee Daley, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2000 E Market St, Warren, OH 44483
Phone: 330-393-5566    
Mandy Perhach, APRN, CPNP-PC
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Medicare: Not Enrolled in Medicare
Practice Location: 506 State Rd Nw, Warren, OH 44483
Phone: 501-620-6493    
Melanie L Birch, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1421 E Market St, Warren, OH 44483
Phone: 330-393-5864    Fax: 330-393-9921
Jillian Sharpnack,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 667 Eastland Ave Se, Warren, OH 44484
Phone: 330-841-4000    
Mrs. Kali Marie Carlisle, MSN, APRN, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2219 E Market St, Warren, OH 44483
Phone: 330-507-9545    
Lauren Zuga, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1842 E Market St, Warren, OH 44483
Phone: 330-856-7212    
Stacy Horvath,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1716 North Rd Se, Warren, OH 44484
Phone: 330-539-3200    

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.