Jennifer Michele Philbin, MD is a medicare enrolled "Family Medicine" physician in Lake Mills, Wisconsin. Her current practice location is
200 E Tyranena Park Rd, Lake Mills, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 648-8393.
Jennifer Michele Philbin is licensed to practice in Wisconsin (license number 44305) 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 1528084209.
Physician's Profile
| Full Name | Jennifer Michele Philbin |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 200 E Tyranena Park Rd, Lake Mills, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528084209
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416847280
- Enrollment ID: I20040316001192
Medical Identifiers
Medical identifiers for Jennifer Michele Philbin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528084209 | NPI | - | NPPES |
| 34210300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 44305 (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. Jennifer Michele Philbin allows following entities to bill medicare on her behalf.
| Entity Name | Fort Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
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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 Michele Philbin 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 Michele Philbin, MD 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 Ph: (920) 648-8393 | Jennifer Michele Philbin, MD 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 Ph: (920) 648-8393 |
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