Mrs Jennifer Lynn Midtlien, CNP in Dayton, OH

Mrs Jennifer Lynn Midtlien, CNP is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Dayton, Ohio. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dermatologists Of Southwestern Ohio, Llc and her current practice location is 5300 Far Hills Ave, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 433-7536.

Mrs Jennifer Lynn Midtlien is licensed to practice in Ohio (license number 11935-NP) 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 1639489545.

Contact Information

	Mrs Jennifer Lynn Midtlien, CNP
	5300 Far Hills Ave, Dayton, OH 45429-2381
	(937) 433-7536
	(937) 433-9612

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Lynn Midtlien
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	5300 Far Hills Ave, Dayton, Ohio
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 Jennifer Lynn Midtlien graduated from nursing school in 2008

NPI Data:

NPI Number: 1639489545
Provider Enumeration Date: 10/13/2010
Last Update Date: 08/03/2016

Medicare PECOS Information:

PECOS PAC ID: 7810184165
Enrollment ID: I20101213000323

Medical Identifiers

Medical identifiers for Mrs Jennifer Lynn Midtlien such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639489545	NPI	-	NPPES
9328817	Other	OH	AETNA
0058747	Medicaid	OH
421534506186	Other	OH	CARESOURCE OHIO
000000745200	Other	OH	ANTHEM BCBS OH
P01005063	Other	OH	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN260615 (Ohio)	Secondary
364SA2200X	Clinical Nurse Specialist - Adult Health	11935-NP (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dermatologists Of Southwestern Ohio, Llc	7113973041	84

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 Jennifer Lynn Midtlien allows following entities to bill medicare on her behalf.

Entity Name	Dermatologists Of Southwestern Ohio, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801819883 PECOS PAC ID: 7113973041 Enrollment ID: O20050323001436

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 Jennifer Lynn Midtlien 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 Jennifer Lynn Midtlien, CNP 1016 Paxon Dr, Bellbrook, OH 45305-8948 Ph: (937) 938-0136	Mrs Jennifer Lynn Midtlien, CNP 5300 Far Hills Ave, Dayton, OH 45429-2381 Ph: (937) 433-7536

Reviews and Comments

Clinical Nurse Specialist Nurses in Dayton, OH

Rose M Malone-jones, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 301 W 1st St, Suite 100, Dayton, OH 45402 Phone: 937-461-0800 Fax: 937-496-0171
Ms. Cheryl Lynn Rawe, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 414 Amy Ct, Dayton, OH 45415 Phone: 937-890-8405
Teresa Mustovich, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406 Phone: 937-434-4363 Fax: 937-734-4181
Marianna Karine Sunderlin, ACNS-C Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490
Mr. Gregory Sanchez, MS, RN-BC, ACNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2126
Mrs. Pamela Sue Lamb, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490 Fax: 937-258-5478
Michelle Post, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-0000

Mrs Jennifer Lynn Midtlien, CNP - Medicare Nurse Practitioner in Dayton, OH