Jenny L Wendtlandt, CAA is a medicare enrolled "Anesthesiologist Assistant" in Appleton, Wisconsin. Her current practice location is
1818 N Meade St, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 731-4101.
Jenny L Wendtlandt is licensed to practice in Wisconsin (license number 512-17) 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 1760194526.
Provider's Profile
| Full Name | Jenny L Wendtlandt |
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| Gender | Female |
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| Speciality | Anesthesiologist Assistant |
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| Location | 1818 N Meade St, Appleton, Wisconsin |
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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: 1760194526
- Provider Enumeration Date: 12/22/2022
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688045933
- Enrollment ID: I20230124001258
Medical Identifiers
Medical identifiers for Jenny L Wendtlandt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760194526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 512-17 (Wisconsin) | 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. Jenny L Wendtlandt allows following entities to bill medicare on her behalf.
| Entity Name | Association Of Hospital Anesthesiologists Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720076474
PECOS PAC ID: 3476539875
Enrollment ID: O20050719001050 |
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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. Jenny L Wendtlandt 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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Jenny L Wendtlandt, CAA
125 Byrd Ave Apt D40,
Neenah, WI 54956-4080
Ph: (414) 559-0917 | Jenny L Wendtlandt, CAA
1818 N Meade St,
Appleton, WI 54911-3454
Ph: (920) 731-4101 |
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