Mrs Jenelle Haley Stefanski, FNP-BC in Granger, IN

Mrs Jenelle Haley Stefanski, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Granger, Indiana. Her current practice location is 6913 N Main St Ste 100, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-6400.

Mrs Jenelle Haley Stefanski is licensed to practice in Indiana (license number 71004799A) 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 1477988590.

Contact Information

	Mrs Jenelle Haley Stefanski, FNP-BC
	6913 N Main St Ste 100, Granger, IN 46530-8039
	(574) 647-6400
	(574) 647-2951

Map and Direction

Provider's Profile

Full Name	Mrs Jenelle Haley Stefanski
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6913 N Main St Ste 100, Granger, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477988590
Provider Enumeration Date: 09/09/2013
Last Update Date: 02/05/2019

Medicare PECOS Information:

PECOS PAC ID: 2567694565
Enrollment ID: I20140404001767

Medical Identifiers

Medical identifiers for Mrs Jenelle Haley Stefanski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477988590	NPI	-	NPPES
201215000	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71004799A (Indiana)	Primary
163W00000X	Registered Nurse	4704278821 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	2013007660 (Michigan)	Secondary

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 Jenelle Haley Stefanski allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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 Jenelle Haley Stefanski 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 Jenelle Haley Stefanski, FNP-BC 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Mrs Jenelle Haley Stefanski, FNP-BC 6913 N Main St Ste 100, Granger, IN 46530-8039 Ph: (574) 647-6400

Reviews and Comments

Nurse Practitioner Nurses in Granger, IN

Megan Vermilyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500
Rebecca L Allen-legault, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411
Dr. Sara Golden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500
Mrs. Tamara L Riess, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306
Emily Peak, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-234-8161
Roni Aizigov, CRNA, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51050 Bittersweet Rd Ste B, Granger, IN 46530 Phone: 718-208-0446 Fax: 574-244-0240
Kristi M Troyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr, Ste 403, Granger, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970

Mrs Jenelle Haley Stefanski, FNP-BC - Medicare Nurse Practitioner in Granger, IN