Dr Jennifer A Pesola, DO is a medicare enrolled "Otolaryngology" physician in Willmar, Minnesota. Her current practice location is
101 Willmar Ave Sw, Willmar, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 231-5000.
Dr Jennifer A Pesola is licensed to practice in Minnesota (license number 46607) 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 1871569194.
Physician's Profile
| Full Name | Dr Jennifer A Pesola |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Location | 101 Willmar Ave Sw, Willmar, Minnesota |
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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: 1871569194
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0345220232
- Enrollment ID: I20040721001498
Medical Identifiers
Medical identifiers for Dr Jennifer A Pesola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871569194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 46607 (Minnesota) | 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. Dr Jennifer A Pesola allows following entities to bill medicare on her behalf.
| Entity Name | Carris Health - Redwood Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265914048
PECOS PAC ID: 7911259619
Enrollment ID: O20181129001082 |
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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. Dr Jennifer A Pesola 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 |
|---|
Dr Jennifer A Pesola, DO
101 Willmar Ave Sw,
Willmar, MN 56201
Ph: (320) 231-5000 | Dr Jennifer A Pesola, DO
101 Willmar Ave Sw,
Willmar, MN 56201
Ph: (320) 231-5000 |
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