Mrs Jenifer D Coffman, FNP in South Bend, IN - Medicare Nurse Practitioner

Mrs Jenifer D Coffman, FNP is a medicare enrolled "Nurse Practitioner" in South Bend, Indiana. Her current practice location is 5838 W Brick Rd Ste 106, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 247-1911.

Mrs Jenifer D Coffman is licensed to practice in Indiana (license number 71010743A) 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 1336745504.

Contact Information

	Mrs Jenifer D Coffman, FNP
	5838 W Brick Rd Ste 106, South Bend, IN 46628-8420
	(574) 247-1911
	(574) 247-1912

Map and Direction

Provider's Profile

Full Name	Mrs Jenifer D Coffman
Gender	Female
Speciality	Nurse Practitioner
Location	5838 W Brick Rd Ste 106, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336745504
Provider Enumeration Date: 12/11/2020
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9739552696
Enrollment ID: I20230224000976

Medical Identifiers

Medical identifiers for Mrs Jenifer D Coffman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336745504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	28149680A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	4704369267 (Michigan)	Secondary
363L00000X	Nurse Practitioner	71010743A (Indiana)	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. Mrs Jenifer D Coffman allows following entities to bill medicare on her behalf.

Entity Name	Vpa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366768160 PECOS PAC ID: 9234041948 Enrollment ID: O20090318000016

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552

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 Jenifer D Coffman 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 Jenifer D Coffman, FNP Po Box 639295 Dept 93394, Cincinnati, OH 45263-9295 Ph: (484) 346-1692	Mrs Jenifer D Coffman, FNP 5838 W Brick Rd Ste 106, South Bend, IN 46628-8420 Ph: (574) 247-1911

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

Mrs Jenifer D Coffman, FNP - Medicare Nurse Practitioner in South Bend, IN