Jennifer L Rouse, is a medicare enrolled "Nurse Practitioner - Family" in Kendrick, Idaho. Her current practice location is
606 Main St, Kendrick, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 289-3841.
Jennifer L Rouse is licensed to practice in Idaho (license number 67523) 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 1710565551.
Provider's Profile
| Full Name | Jennifer L Rouse |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 606 Main St, Kendrick, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710565551
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 04/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113335415
- Enrollment ID: I20210427001540
Medical Identifiers
Medical identifiers for Jennifer L Rouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710565551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 67523 (Idaho) | 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 L Rouse allows following entities to bill medicare on her behalf.
| Entity Name | Gritman Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477004828
PECOS PAC ID: 4981984390
Enrollment ID: O20161130002249 |
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| Entity Name | Gritman Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538634522
PECOS PAC ID: 0941545784
Enrollment ID: O20181221002296 |
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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 L Rouse 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 L Rouse,
700 S Main St,
Moscow, ID 83843-3046
Ph: (208) 289-3841 | Jennifer L Rouse,
606 Main St,
Kendrick, ID 83537-8353
Ph: (208) 289-3841 |
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