Miss Jennifer B Rickert, APNP is a medicare enrolled "Nurse Practitioner - Family" in Campbellsport, Wisconsin. Her current practice location is
350 E Sheboygan St, Campbellsport, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 533-8361.
Miss Jennifer B Rickert is licensed to practice in Wisconsin (license number 12100-33) 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 1679209324.
Provider's Profile
| Full Name | Miss Jennifer B Rickert |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 350 E Sheboygan St, Campbellsport, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1679209324
- Provider Enumeration Date: 07/26/2022
- Last Update Date: 07/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103209317
- Enrollment ID: I20220822001976
Medical Identifiers
Medical identifiers for Miss Jennifer B Rickert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679209324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 12100-33 (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. Miss Jennifer B Rickert allows following entities to bill medicare on her behalf.
| Entity Name | Agnesian Healthcare Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263 |
|---|
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. Miss Jennifer B Rickert 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 |
|---|
Miss Jennifer B Rickert, APNP
748 W 8th Ave,
Oshkosh, WI 54902-5859
Ph: (920) 312-1287 | Miss Jennifer B Rickert, APNP
350 E Sheboygan St,
Campbellsport, WI 53010-2795
Ph: (920) 533-8361 |
Reviews and Comments