Mrs Jennifer Michele Gates, is a
Licensed Practical Nurse based in Ixonia, Wisconsin. Mrs Jennifer Michele Gates is licensed to practice in Wisconsin (license number 318264-31) and her current practice location is
W2093 Gary Ln, Ixonia, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 253-5625.
NPI number for Mrs Jennifer Michele Gates is 1376956367 and her current mailing address is W2093 Gary Ln, Ixonia, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376956367.
Provider's Profile
Full Name | Mrs Jennifer Michele Gates |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | W2093 Gary Ln, Ixonia, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376956367
- Provider Enumeration Date: 06/06/2014
- Last Update Date: 06/06/2014
Medical Identifiers
Medical identifiers for Mrs Jennifer Michele Gates such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376956367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 318264-31 (Wisconsin) | Primary |
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 Michele Gates is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jennifer Michele Gates, W2093 Gary Ln, Ixonia, WI 53036-9724 Ph: (920) 253-5625 | Mrs Jennifer Michele Gates, W2093 Gary Ln, Ixonia, WI 53036-9724 Ph: (920) 253-5625 |
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