Nicole Marie Janke, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Coquille, Oregon. Her current practice location is
790 E 5th St, Coquille, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 396-3111.
Nicole Marie Janke is licensed to practice in Oregon (license number 10011554) 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 1548949613.
Provider's Profile
| Full Name | Nicole Marie Janke |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 790 E 5th St, Coquille, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548949613
- Provider Enumeration Date: 07/14/2023
- Last Update Date: 07/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436511235
- Enrollment ID: I20230810002221
Medical Identifiers
Medical identifiers for Nicole Marie Janke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548949613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 10011554 (Oregon) | 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. Nicole Marie Janke allows following entities to bill medicare on her behalf.
| Entity Name | Coquille Valley Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730223967
PECOS PAC ID: 6901714591
Enrollment ID: O20040420000530 |
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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. Nicole Marie Janke 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 |
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Nicole Marie Janke, FNP-C
1105 N 7th St,
Coos Bay, OR 97420-2466
Ph: (541) 297-8955 | Nicole Marie Janke, FNP-C
790 E 5th St,
Coquille, OR 97423-1755
Ph: (541) 396-3111 |
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