Mrs Jenny M Bausano, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lake Linden, Michigan. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Portage Physician Practices Inc and her current practice location is
945 9th St, Lake Linden, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 483-1030.
Mrs Jenny M Bausano is licensed to practice in Michigan (license number 4704259562) 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 1003475344.
Provider's Profile
Full Name | Mrs Jenny M Bausano |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 945 9th St, Lake Linden, Michigan |
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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 Jenny M Bausano graduated from nursing school in 2019
NPI Data:
- NPI Number: 1003475344
- Provider Enumeration Date: 06/11/2019
- Last Update Date: 04/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335479211
- Enrollment ID: I20190918002850
Medical Identifiers
Medical identifiers for Mrs Jenny M Bausano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003475344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 4704259562 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Portage Physician Practices Inc | 6103053509 | 36 |
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 Jenny M Bausano allows following entities to bill medicare on her behalf.
Entity Name | Portage Physician Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
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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 Jenny M Bausano 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 Jenny M Bausano, FNP 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 346-4924 | Mrs Jenny M Bausano, FNP 945 9th St, Lake Linden, MI 49945-1100 Ph: (906) 483-1030 |
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