Jennifer N Zettl, DNP,FNP-C, CNP is a medicare enrolled "Nurse Practitioner - Family" in Custer, South Dakota. Her current practice location is
1369 Montgomery St, Custer, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 673-3900.
Jennifer N Zettl is licensed to practice in South Dakota (license number CP003261) 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 1902644909.
Provider's Profile
| Full Name | Jennifer N Zettl |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1369 Montgomery St, Custer, South Dakota |
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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: 1902644909
- Provider Enumeration Date: 07/16/2024
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709323355
- Enrollment ID: I20240801000965
Medical Identifiers
Medical identifiers for Jennifer N Zettl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902644909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | CP003261 (South Dakota) | 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 N Zettl allows following entities to bill medicare on her behalf.
| Entity Name | Southern Hills Family Medicine Prof Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457013963
PECOS PAC ID: 8224427968
Enrollment ID: O20211117003207 |
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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 N Zettl 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 |
|---|
Jennifer N Zettl, DNP,FNP-C, CNP
1369 Montgomery St,
Custer, SD 57730-8246
Ph: (605) 673-3900 | Jennifer N Zettl, DNP,FNP-C, CNP
1369 Montgomery St,
Custer, SD 57730-8246
Ph: (605) 673-3900 |
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