Jennifer A Mirrielees, MD is a medicare enrolled "Emergency Medicine" physician in Waunakee, Wisconsin. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Southern Wisconsin Emergency Associates Sc, Stoughton Hospital Association and her current practice location is
5535 Galway Dr, Waunakee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(936) 525-7063.
Jennifer A Mirrielees is licensed to practice in Wisconsin (license number 77764-20) 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 1205465291.
Physician's Profile
| Full Name | Jennifer A Mirrielees |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 5 Years |
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| Location | 5535 Galway Dr, Waunakee, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer A Mirrielees graduated from medical school in 2020
NPI Data:
- NPI Number: 1205465291
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 07/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840613626
- Enrollment ID: I20230613001402
Medical Identifiers
Medical identifiers for Jennifer A Mirrielees such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205465291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 77764-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Southern Wisconsin Emergency Associates Sc | 3274561055 | 39 |
| Stoughton Hospital Association | 7012825706 | 50 |
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. Jennifer A Mirrielees allows following entities to bill medicare on her behalf.
| Entity Name | Stoughton Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679558647 PECOS PAC ID: 7012825706 Enrollment ID: O20040402001358 |
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| Entity Name | Southern Wisconsin Emergency Associates Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568538189 PECOS PAC ID: 3274561055 Enrollment ID: O20050802000934 |
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| Entity Name | Swea Fort Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295552065 PECOS PAC ID: 0345774972 Enrollment ID: O20241105002772 |
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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. Jennifer A Mirrielees 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 |
Jennifer A Mirrielees, MD 5535 Galway Dr, Waunakee, WI 53597-8414 Ph: (936) 525-7063 | Jennifer A Mirrielees, MD 5535 Galway Dr, Waunakee, WI 53597-8414 Ph: (936) 525-7063 |
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