Ms Jill Bohn, APNP, FNP-BC, IBCLC is a medicare enrolled "Nurse Practitioner - Family" in Adams, Wisconsin. Her current practice location is
419 N Oak St, Adams, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 339-5250.
Ms Jill Bohn is licensed to practice in Wisconsin (license number 6136-33) 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 1043600745.
Provider's Profile
| Full Name | Ms Jill Bohn |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 419 N Oak St, Adams, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1043600745
- Provider Enumeration Date: 02/02/2015
- Last Update Date: 05/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254658032
- Enrollment ID: I20150317000745
Medical Identifiers
Medical identifiers for Ms Jill Bohn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043600745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 6136-33 (Wisconsin) | 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. Ms Jill Bohn allows following entities to bill medicare on her behalf.
| Entity Name | Aspirus Riverview Hospital & Clinics Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295754844
PECOS PAC ID: 4587658182
Enrollment ID: O20040414000945 |
|---|
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. Ms Jill Bohn 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 |
|---|
Ms Jill Bohn, APNP, FNP-BC, IBCLC
541 4th St S,
Wisconsin Rapids, WI 54494-4306
Ph: (715) 424-8600 | Ms Jill Bohn, APNP, FNP-BC, IBCLC
419 N Oak St,
Adams, WI 53910-9401
Ph: (608) 339-5250 |
Reviews and Comments