Jennifer Ann Lundgren, PMHNP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Shenandoah, Iowa. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shenandoah Medical Center and her current practice location is
300 Pershing Ave, Shenandoah, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 246-7285.
Jennifer Ann Lundgren is licensed to practice in Iowa (license number G174269) 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 1104515311.
Provider's Profile
| Full Name | Jennifer Ann Lundgren |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 300 Pershing Ave, Shenandoah, Iowa |
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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 Ann Lundgren graduated from nursing school in 2023
NPI Data:
- NPI Number: 1104515311
- Provider Enumeration Date: 05/03/2023
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052779782
- Enrollment ID: I20230628000158
Medical Identifiers
Medical identifiers for Jennifer Ann Lundgren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104515311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WG0000X | Registered Nurse - General Practice | 155203 (Iowa) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G174269 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shenandoah Medical Center | 9436063237 | 47 |
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 Ann Lundgren allows following entities to bill medicare on her behalf.
| Entity Name | Shenandoah Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497810972
PECOS PAC ID: 9436063237
Enrollment ID: O20040209000347 |
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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 Ann Lundgren 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 Ann Lundgren, PMHNP
300 Pershing Ave,
Shenandoah, IA 51601-2355
Ph: (712) 246-7285 | Jennifer Ann Lundgren, PMHNP
300 Pershing Ave,
Shenandoah, IA 51601-2355
Ph: (712) 246-7285 |
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