Jolene Engelhart, NP is a medicare enrolled "Nurse Practitioner" in Richardton, North Dakota. Her current practice location is
215 3rd Ave W, Richardton, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 974-3372.
Jolene Engelhart is licensed to practice in North Dakota (license number R23250) 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 1952454829.
Provider's Profile
| Full Name | Jolene Engelhart |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 215 3rd Ave W, Richardton, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952454829
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052337516
- Enrollment ID: I20051024000630
Medical Identifiers
Medical identifiers for Jolene Engelhart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952454829 | NPI | - | NPPES |
| 19826 | Medicaid | ND | |
| P00767212 | Other | ND | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | R23250 (North Dakota) | 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. Jolene Engelhart allows following entities to bill medicare on her behalf.
| Entity Name | Jacobson Memorial Hospital Care Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871691519
PECOS PAC ID: 2466363981
Enrollment ID: O20031210001025 |
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| Entity Name | Jacobson Memorial Hospital Care Center |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1336196039
PECOS PAC ID: 2466363981
Enrollment ID: O20070223000598 |
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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. Jolene Engelhart 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 |
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Jolene Engelhart, NP
215 3rd Ave W,
Richardton, ND 58652-7109
Ph: (701) 974-3372 | Jolene Engelhart, NP
215 3rd Ave W,
Richardton, ND 58652-7109
Ph: (701) 974-3372 |
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