Dr Johnnie Jacqueline Wren, MD - Medicare Family Practice in Au Sable Forks, NY

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Dr Johnnie Jacqueline Wren, MD is a medicare enrolled "Family Medicine" physician in Au Sable Forks, New York. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice North Wind Primary Care Pllc and her current practice location is 15 Pleasant Street, Au Sable Forks, New York. You can reach out to her office (for appointments etc.) via phone at (518) 647-8164.

Dr Johnnie Jacqueline Wren is licensed to practice in New York (license number 307989) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073045746.

Contact Information

Dr Johnnie Jacqueline Wren, MD
15 Pleasant Street,
Au Sable Forks, NY 21912
(518) 647-8164
Not Available

Map and Direction




Physician's Profile

Full NameDr Johnnie Jacqueline Wren
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location15 Pleasant Street, Au Sable Forks, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Johnnie Jacqueline Wren graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1073045746
  • Provider Enumeration Date: 03/31/2017
  • Last Update Date: 02/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0941613566
  • Enrollment ID: I20201228002160

Medical Identifiers

Medical identifiers for Dr Johnnie Jacqueline Wren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073045746NPI-NPPES
06303951MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 307989 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospice Of The North Country IncPlattsburgh, NYHospice
Champlain Valley Physicians Hospital Medical CtrPlattsburgh, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Wind Primary Care Pllc45870669564

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 Johnnie Jacqueline Wren allows following entities to bill medicare on her behalf.
Entity NameChamplain Valley Physicians Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124189782
PECOS PAC ID: 2769396878
Enrollment ID: O20031121000623
Entity NameNorth Wind Primary Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629646690
PECOS PAC ID: 4587066956
Enrollment ID: O20210707002626

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 Johnnie Jacqueline Wren 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 AddressPractice Location Address
Dr Johnnie Jacqueline Wren, MD
159 Margaret St, Suite 100,
Plattsburgh, NY 12901-1893

Ph: (518) 314-3939		Dr Johnnie Jacqueline Wren, MD
15 Pleasant Street,
Au Sable Forks, NY 21912

Ph: (518) 647-8164

Reviews and Comments


Family Medicine Doctors in Au Sable Forks, NY

Dr. Richard Louis Bremer, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 27 North Main Street, Au Sable Forks, NY 12912
Phone: 518-647-8164    Fax: 518-647-2127
Laurel M Rosenthal, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15 Pleasant St, Au Sable Forks, NY 12912
Phone: 518-647-8164    Fax: 518-647-2127

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.