Jennifer Rebecca Enman-bourgon, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Wisconsin Rapids, Wisconsin. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Sanford Health Network, Aspirus Riverview Hospital And Clinics Inc, Aspirus Riverview Hospital And Clinics Inc and her current practice location is
410 Dewey St, Wisconsin Rapids, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 423-6060.
Jennifer Rebecca Enman-bourgon is licensed to practice in Wisconsin (license number 73626-21) 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 1265789572.
Physician's Profile
| Full Name | Jennifer Rebecca Enman-bourgon |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 14 Years |
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| Location | 410 Dewey St, Wisconsin Rapids, 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. |
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Medical Education and Training:
- Jennifer Rebecca Enman-bourgon graduated from medical school in 2012
NPI Data:
- NPI Number: 1265789572
- Provider Enumeration Date: 08/07/2012
- Last Update Date: 02/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 1355589243
- Enrollment ID: I20260312002725
Medical Identifiers
Medical identifiers for Jennifer Rebecca Enman-bourgon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265789572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 73626-21 (Wisconsin) | Primary |
| 207V00000X | Obstetrics & Gynecology | 020045038 (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sanford Health Network | 6800707100 | 364 |
| Aspirus Riverview Hospital And Clinics Inc | 4587658182 | 165 |
| Aspirus Riverview Hospital And Clinics Inc | 4587658182 | 165 |
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 Rebecca Enman-bourgon 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 |
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Jennifer Rebecca Enman-bourgon, DO
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Jennifer Rebecca Enman-bourgon, DO
410 Dewey St,
Wisconsin Rapids, WI 54494-4715
Ph: (715) 423-6060 |
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