Jaclyn Jozefiak, RDN, MS in Kenosha, WI - Medicare Dietitian, Registered Provider

Jaclyn Jozefiak, RDN, MS is a medicare enrolled "Dietitian, Registered" provider in Kenosha, Wisconsin. Her current practice location is 6838 93rd Ct, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 909-9282.

Jaclyn Jozefiak is licensed to practice in Wisconsin (license number 86169787) 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 1497412126.

Contact Information

	Jaclyn Jozefiak, RDN, MS
	6838 93rd Ct, Kenosha, WI 53142-8104
	(262) 909-9282
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Jozefiak
Gender	Female
Speciality	Dietitian, Registered
Location	6838 93rd Ct, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497412126
Provider Enumeration Date: 11/17/2021
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 1355783226
Enrollment ID: I20240523000529

Medical Identifiers

Medical identifiers for Jaclyn Jozefiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497412126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86169787 (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. Jaclyn Jozefiak allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Jaclyn Jozefiak 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
Jaclyn Jozefiak, RDN, MS 6838 93rd Ct, Kenosha, WI 53142-8104 Ph: (262) 909-9282	Jaclyn Jozefiak, RDN, MS 6838 93rd Ct, Kenosha, WI 53142-8104 Ph: (262) 909-9282

Reviews and Comments

Dietitian, Registered in Kenosha, WI

Mr. Dean Spangle, MS, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1617 73rd St, Kenosha, WI 53143 Phone: 262-653-1771
Abigail Jean Olcott, RD Dietitian Medicare: Medicare Enrolled Practice Location: 13032 71st St Apt 7118, Kenosha, WI 53142 Phone: 309-397-6406
Kara Winslow, M.S., R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7083 Fax: 262-948-7086
Emily Jane Collins, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-646-0044
Lindsay Swartz, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St Ste 316, Kenosha, WI 53142 Phone: 262-948-6692
Peyton Helgeson-cuitino, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10120 69th St, Kenosha, WI 53142 Phone: 847-845-1877

Jaclyn Jozefiak, RDN, MS - Medicare Dietitian in Kenosha, WI