Jerret Kolesar, RN in Youngstown, OH - Medicare Registered Nurse

Jerret Kolesar, RN is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" in Youngstown, Ohio. His current practice location is 615 Churchill Hubbard Rd, Youngstown, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 503-1549.

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
	615 Churchill Hubbard Rd, Youngstown, OH 44505-1332
	(330) 503-1549
	Not Available

Map and Direction

Provider's Profile

Full Name	Jerret Kolesar
Gender	Male
Speciality	Registered Nurse - Psychiatric/mental Health
Location	615 Churchill Hubbard Rd, Youngstown, Ohio
Accepts Medicare Assignments	Medicare 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: 06/30/2022

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.

Identifier	Type	State	Issuer
1104558840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - 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 Name	Open Water Counseling And Recovery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Jerret Kolesar, RN 615 Angiline Dr, Boardman, OH 44512-6569 Ph: (330) 503-1549	Jerret Kolesar, RN 615 Churchill Hubbard Rd, Youngstown, OH 44505-1332 Ph: (330) 503-1549

Reviews and Comments

Registered Nurse Nurses in Youngstown, OH

Armandlyn George, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1815 Belmont Ave, Youngstown, OH 44504 Phone: 330-740-9200
Monica S Jones, RN, LPN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 W Chalmers Ave, Youngstown, OH 44511 Phone: 330-797-0070
Austin Campbell, SRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211
Ms. Jessie B Huggins, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 618 Mistletoe Ave, Youngstown, OH 44511 Phone: 330-782-2686
Tara L Ward, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0070
Jessica Cherol, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 377 Boardman Poland Rd, Youngstown, OH 44512 Phone: 330-787-0254
Mrs. Dennise Kathryn Bukovac, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1741 Pointview Ave, Youngstown, OH 44502 Phone: 330-261-2317

Jerret Kolesar, RN - Medicare Registered Nurse in Youngstown, OH