Jennifer Dawn Shafer, NP - Medicare Nurse Practitioner in Marengo, IN

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Jennifer Dawn Shafer, NP is a medicare enrolled "Nurse Practitioner - Family" in Marengo, Indiana. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Indiana Community Health Care Inc and her current practice location is 5604 E White Oak Ln, Marengo, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 365-3221.

Jennifer Dawn Shafer is licensed to practice in Indiana (license number 71004086A) 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 1366790776.

Contact Information

Jennifer Dawn Shafer, NP
5604 E White Oak Ln,
Marengo, IN 47140-8413
(812) 365-3221
(812) 365-9502

Map and Direction




Provider's Profile

Full NameJennifer Dawn Shafer
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location5604 E White Oak Ln, Marengo, Indiana
Accepts Medicare AssignmentsYes. 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 Dawn Shafer graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1366790776
  • Provider Enumeration Date: 08/16/2012
  • Last Update Date: 12/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5698929669
  • Enrollment ID: I20130129000555

Medical Identifiers

Medical identifiers for Jennifer Dawn Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366790776NPI-NPPES
201110950MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28168433A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71004086A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Norton Hospitals, IncLouisville, KYHospital
Indiana University Health Paoli HospitalPaoli, INHospital
Harrison County HospitalCorydon, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Indiana Community Health Care Inc579969436019

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 Dawn Shafer allows following entities to bill medicare on her behalf.
Entity NameSouthern Indiana Community Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427171057
PECOS PAC ID: 5799694360
Enrollment ID: O20040525000541

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 Dawn Shafer 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 AddressPractice Location Address
Jennifer Dawn Shafer, NP
420 W Longest St,
Paoli, IN 47454-8821

Ph: (812) 723-3944		Jennifer Dawn Shafer, NP
5604 E White Oak Ln,
Marengo, IN 47140-8413

Ph: (812) 365-3221

Reviews and Comments


Nurse Practitioner Nurses in Marengo, IN

Howard D Detweiler, N. P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5604 E White Oak Ln, Marengo, IN 47140
Phone: 812-365-3221    Fax: 812-365-9502
Kelsey L Trueblood, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5604 E White Oak Ln, Marengo, IN 47140
Phone: 812-365-3221    Fax: 812-365-9502
Susan Stein, N. P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 170 South Second Street, Marengo, IN 47140
Phone: 812-365-3221    Fax: 812-365-9502

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.