| Jay Mitchell Jevne, PMHNP | |
|
1110 7th Ave, Cumberland, WI 54829-9138 | |
| (715) 822-7500 | |
| Not Available |
| Full Name | Jay Mitchell Jevne |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1110 7th Ave, Cumberland, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942849484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9972 (Wisconsin) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9972 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeview Medical Center Of Rice Lake | Rice lake, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Lakes Community Health Center Inc | 0840366654 | 88 |
| Lakeview Medical Center Inc Of Rice Lake | 6103737820 | 136 |
| Entity Name | The Lakes Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Mitchell Jevne, PMHNP 1150 6th Ave, Cumberland, WI 54829-9103 Ph: (715) 822-7200 | Jay Mitchell Jevne, PMHNP 1110 7th Ave, Cumberland, WI 54829-9138 Ph: (715) 822-7500 |
Sarah Katherine Farr, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1705 16th Ave, Cumberland, WI 54829 Phone: 715-822-7500 | |
Jayne L Rieper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 State Hwy 48, Cumberland, WI 54829 Phone: 715-822-6900 | |
Deborah Ann Hallingstad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 7th Ave, Cumberland, WI 54829 Phone: 715-822-7470 Fax: 715-822-7471 | |
Christine A. Hines, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 State Road 48, Cumberland, WI 54829 Phone: 715-822-6900 | |
Kathryn Beecroft, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1705 16th Ave, Cumberland, WI 54829 Phone: 715-822-7500 Fax: 715-822-7221 |