Jennifer Lietzau, DNP, APRN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" provider in La Crosse, Wisconsin. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gundersen Lutheran Medical Center Inc and her current practice location is
1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 782-7300.
Jennifer Lietzau is licensed to practice in Wisconsin (license number 11673) 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 1649403395.
Healthcare Provider's Profile
| Full Name | Jennifer Lietzau |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 1836 South Ave, La Crosse, Wisconsin |
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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. |
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Medical Education and Training:
- Jennifer Lietzau graduated from medical school in 2021
NPI Data:
- NPI Number: 1649403395
- Provider Enumeration Date: 08/28/2009
- Last Update Date: 02/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618360728
- Enrollment ID: I20220214002111
Medical Identifiers
Medical identifiers for Jennifer Lietzau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649403395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 4742-026 (Wisconsin) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 11673 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
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. Jennifer Lietzau allows following entities to bill medicare on her behalf.
| Provider Name | Gundersen Lutheran Medical Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254 |
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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. Jennifer Lietzau 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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Jennifer Lietzau, DNP, APRN, AGACNP-BC
208 Elm St,
Strum, WI 54770-7905
Ph: () - | Jennifer Lietzau, DNP, APRN, AGACNP-BC
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 |
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