Mrs Jodi L Space, APNP in Crandon, WI - Medicare Nurse Practitioner

Mrs Jodi L Space, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Crandon, Wisconsin. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Forest County Potawatomi Community and her current practice location is 5416 Everybodys Rd, Crandon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 478-4890.

Mrs Jodi L Space is licensed to practice in Wisconsin (license number 5012-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518217280.

Contact Information

	Mrs Jodi L Space, APNP
	5416 Everybodys Rd, Crandon, WI 54520-8627
	(715) 478-4890
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jodi L Space
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	5416 Everybodys Rd, Crandon, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jodi L Space attended and graduated from University Of Missouri, Columbia School Of Medicine in 2012

NPI Data:

NPI Number: 1518217280
Provider Enumeration Date: 09/10/2012
Last Update Date: 01/19/2022

Medicare PECOS Information:

PECOS PAC ID: 3971758962
Enrollment ID: I20130222000413

Medical Identifiers

Medical identifiers for Mrs Jodi L Space such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518217280	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5012 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5012-33 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forest County Potawatomi Community	3375454689	15

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. Mrs Jodi L Space allows following entities to bill medicare on her behalf.

Entity Name	Aspirus Medford Hospital & Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007

Entity Name	Forest County Potawatomi Community
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285741306 PECOS PAC ID: 3375454689 Enrollment ID: O20040228000204

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. Mrs Jodi L Space 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
Mrs Jodi L Space, APNP 5416 Everybodys Rd, Crandon, WI 54520-8627 Ph: (715) 478-4890	Mrs Jodi L Space, APNP 5416 Everybodys Rd, Crandon, WI 54520-8627 Ph: (715) 478-4890

Reviews and Comments

Nurse Practitioner Nurses in Crandon, WI

Jacklin A Sailo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300
Ms. Corrie M. Kassler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W Glen St, Crandon, WI 54520 Phone: 715-478-3318
Mrs. Suzette Linda Katchko, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 715-478-5180
Melinda M Roth, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 715-478-5180 Fax: 715-478-5904
Amy Susan Kuebler, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W Glen St, Crandon, WI 54520 Phone: 715-478-6300 Fax: 715-478-6340
Laura L Meverden, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300
Ms. Bobbi Jo Kapla Bissonette, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3144 Vanzile Road, Crandon, WI 54520 Phone: 715-478-5180 Fax: 715-478-5904

Mrs Jodi L Space, APNP - Medicare Nurse Practitioner in Crandon, WI