Jessica Jannette Hendricks, ANP-BC - Medicare Nurse Practitioner in Chilton, WI

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Jessica Jannette Hendricks, ANP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Chilton, Wisconsin. Her current practice location is 618 Memorial Dr, Chilton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 849-3800.

Jessica Jannette Hendricks is licensed to practice in Wisconsin (license number 5442-33) 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 1720412299.

Contact Information

Jessica Jannette Hendricks, ANP-BC
618 Memorial Dr,
Chilton, WI 53014-1568
(920) 849-3800
Not Available

Map and Direction




Provider's Profile

Full NameJessica Jannette Hendricks
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location618 Memorial Dr, Chilton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720412299
  • Provider Enumeration Date: 09/02/2013
  • Last Update Date: 12/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0547496598
  • Enrollment ID: I20131121000089

Medical Identifiers

Medical identifiers for Jessica Jannette Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720412299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 5442-33 (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. Jessica Jannette Hendricks allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351
Entity NameAscension Calumet Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376541748
PECOS PAC ID: 7416948427
Enrollment ID: O20040809000191

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. Jessica Jannette Hendricks 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
Jessica Jannette Hendricks, ANP-BC
618 Memorial Dr,
Chilton, WI 53014-1568

Ph: () -		Jessica Jannette Hendricks, ANP-BC
618 Memorial Dr,
Chilton, WI 53014-1568

Ph: (920) 849-3800

Reviews and Comments


Nurse Practitioner Nurses in Chilton, WI

Lisa Kaye Schabach, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 618 Memorial Dr, Chilton, WI 53014
Phone: 920-849-7734    
Neelam Patel Nair, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 614 Memorial Dr, Chilton, WI 53014
Phone: 920-849-7555    
Dr. Amelia Killick, DNP, APNP, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 585 Clay Street, Chilton, WI 53014
Phone: 800-000-0000    
Sharon M Kaplon, DNP, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 618 Memorial Dr, Chilton, WI 53014
Phone: 920-849-3800    
Sarah Marie Schultz, RN, CFNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 618 Memorial Dr, Chilton, WI 53014
Phone: 920-849-3823    
Amanda Hackbarth, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 618 Memorial Dr, Chilton, WI 53014
Phone: 920-849-3800    

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.