Dr Jillian Renee Baranowski, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in South Bend, Indiana. Her current practice location is
714 N Michigan St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at
(309) 696-7747.
Dr Jillian Renee Baranowski is licensed to practice in * (Not Available) (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 1013653195.
Physician's Profile
Full Name | Dr Jillian Renee Baranowski |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 714 N Michigan St, South Bend, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013653195
- Provider Enumeration Date: 05/11/2022
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103205125
- Enrollment ID: I20220622002498
Medical Identifiers
Medical identifiers for Dr Jillian Renee Baranowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013653195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 01096027A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Jillian Renee Baranowski 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 Jillian Renee Baranowski, MD 714 N Michigan St, South Bend, IN 46601-1035 Ph: (574) 647-7477 | Dr Jillian Renee Baranowski, MD 714 N Michigan St, South Bend, IN 46601-1035 Ph: (309) 696-7747 |
Reviews and Comments