Ms Jane Marie Herrmann, PT, ATC is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in Swansea, Illinois. Her current practice location is
1505 Comer Ave, Swansea, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 741-4154.
Ms Jane Marie Herrmann is licensed to practice in Illinois (license number ) 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 1497717201.
Healthcare Provider's Profile
| Full Name | Ms Jane Marie Herrmann |
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| Gender | Female |
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| Speciality | Specialist/technologist - Athletic Trainer |
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| Location | 1505 Comer Ave, Swansea, Illinois |
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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: 1497717201
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315290277
- Enrollment ID: I20181024000139
Medical Identifiers
Medical identifiers for Ms Jane Marie Herrmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497717201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (Illinois) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (Illinois) | 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 Jane Marie Herrmann allows following entities to bill medicare on her behalf.
| Provider Name | Brefeld Physical Therapy Services Pc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1053308015
PECOS PAC ID: 8628010089
Enrollment ID: O20050525000831 |
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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. Ms Jane Marie Herrmann 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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Ms Jane Marie Herrmann, PT, ATC
1505 Comer Ave,
Swansea, IL 62226-2140
Ph: (618) 741-4154 | Ms Jane Marie Herrmann, PT, ATC
1505 Comer Ave,
Swansea, IL 62226-2140
Ph: (618) 741-4154 |
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