Johnathan B Reddick, APRN, CNP in Menomonee Falls, WI

Johnathan B Reddick, APRN, CNP is a medicare enrolled "Nurse Practitioner" in Menomonee Falls, Wisconsin. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northwestern Medical Faculty Foundation, Aurora Medical Group, Inc. and his current practice location is N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 251-7500.

Johnathan B Reddick is licensed to practice in Wisconsin (license number 101031-875) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245988781.

Contact Information

	Johnathan B Reddick, APRN, CNP
	N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810
	(262) 251-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Johnathan B Reddick
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Johnathan B Reddick graduated from nursing school in 2021

NPI Data:

NPI Number: 1245988781
Provider Enumeration Date: 03/14/2022
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 9537555735
Enrollment ID: I20220414001085

Medical Identifiers

Medical identifiers for Johnathan B Reddick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245988781	NPI	-	NPPES
100250920	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	101031-875 (Wisconsin)	Primary
363L00000X	Nurse Practitioner	209023782 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwestern Lake Forest Hospital	Lake forest, IL	Hospital
Northwestern Memorial Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3255
Aurora Medical Group, Inc.	6709794258	3207

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. Johnathan B Reddick allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

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. Johnathan B Reddick 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
Johnathan B Reddick, APRN, CNP Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 251-7500	Johnathan B Reddick, APRN, CNP N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 Ph: (262) 251-7500

Reviews and Comments

Nurse Practitioner Nurses in Menomonee Falls, WI

Debra J Casper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-257-3510
David J. Luber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 Fax: 262-251-7128
Jamie Ottow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W129n7055 Northfield Dr, Menomonee Falls, WI 53051 Phone: 414-805-7000
Arlene L Vlieger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-251-1000
Anne Mutitu, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 414-290-6720 Fax: 414-290-6755
Emmy L Sippel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-257-2783 Fax: 262-250-7440
Nicole Leigh Heding, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: W129n7055 Northfield Dr, Menomonee Falls, WI 53051 Phone: 414-430-4378

Johnathan B Reddick, APRN, CNP - Medicare Nurse Practitioner in Menomonee Falls, WI