Jennifer M Emmert, NP is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" in Lafayette, Indiana. She graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shadeland Anesthesia And Pain Associates Inc and her current practice location is
3750 Landmark Dr Ste A, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 807-2780.
Jennifer M Emmert is licensed to practice in Indiana (license number 71001915A) 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 1659323046.
Provider's Profile
| Full Name | Jennifer M Emmert |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 24 Years |
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| Location | 3750 Landmark Dr Ste A, Lafayette, Indiana |
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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 M Emmert graduated from nursing school in 2002
NPI Data:
- NPI Number: 1659323046
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 12/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577505676
- Enrollment ID: I20050531000349
Medical Identifiers
Medical identifiers for Jennifer M Emmert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659323046 | NPI | - | NPPES |
| 201010640 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | 71001915A (Indiana) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 71001915A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shadeland Anesthesia And Pain Associates Inc | 2769468990 | 39 |
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 M Emmert allows following entities to bill medicare on her behalf.
| Entity Name | Shadeland Anesthesia & Pain Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477589000
PECOS PAC ID: 2769468990
Enrollment ID: O20040628000781 |
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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 M Emmert 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 M Emmert, NP
29943 Network Pl,
Chicago, IL 60673-1299
Ph: (317) 706-7246 | Jennifer M Emmert, NP
3750 Landmark Dr Ste A,
Lafayette, IN 47905-6652
Ph: (765) 807-2780 |
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