Jeremy Kwolek, in Saint Croix Falls, WI - Medicare Nurse Practitioner

Jeremy Kwolek, is a medicare enrolled "Nurse Practitioner - Family" in Saint Croix Falls, Wisconsin. His current practice location is 235 E State St, Saint Croix Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 407-4197.

Jeremy Kwolek is licensed to practice in Wisconsin (license number 13650) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346941465.

Contact Information

	Jeremy Kwolek,
	235 E State St, Saint Croix Falls, WI 54024-4117
	(715) 407-4197
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeremy Kwolek
Gender	Male
Speciality	Nurse Practitioner - Family
Location	235 E State St, Saint Croix Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346941465
Provider Enumeration Date: 03/15/2023
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1355707613
Enrollment ID: I20230512000269

Medical Identifiers

Medical identifiers for Jeremy Kwolek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346941465	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	13650 (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. Jeremy Kwolek allows following entities to bill medicare on his behalf.

Entity Name	St. Croix Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217

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. Jeremy Kwolek 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
Jeremy Kwolek, 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 407-4197	Jeremy Kwolek, 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 407-4197

Reviews and Comments

Nurse Practitioner Nurses in Saint Croix Falls, WI

Christie Deloris Shelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3261 Fax: 715-483-0507
Wanda F Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Heather J Ash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Andrew Johnson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3261 Fax: 715-483-0507
Victoria R Studtmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Stephanie June Mysicka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507

Jeremy Kwolek, - Medicare Nurse Practitioner in Saint Croix Falls, WI