Jesse Elizabeth Childs, PA-C - Medicare Physician Assistant in Winnebago, WI

  1. Home
  2. Physician Assistant
  3. WI
  4. Winnebago
Jesse Elizabeth Childs, PA-C is a medicare enrolled "Physician Assistant - Medical" in Winnebago, Wisconsin. Her current practice location is 1300 South Drive, Winnebago, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 235-4910.

Jesse Elizabeth Childs is licensed to practice in Georgia (license number 7598) 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 1104289099.

Contact Information

Jesse Elizabeth Childs, PA-C
1300 South Drive,
Winnebago, WI 54985-5498
(920) 235-4910
Not Available

Map and Direction




Provider's Profile

Full NameJesse Elizabeth Childs
GenderFemale
SpecialityPhysician Assistant - Medical
Location1300 South Drive, Winnebago, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104289099
  • Provider Enumeration Date: 03/30/2016
  • Last Update Date: 07/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294027389
  • Enrollment ID: I20160711001325

Medical Identifiers

Medical identifiers for Jesse Elizabeth Childs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104289099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 7598 (Georgia)Primary

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. Jesse Elizabeth Childs 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 AddressPractice Location Address
Jesse Elizabeth Childs, PA-C
12345 Mercy Blvd,
Saavannah, GA 31419

Ph: (912) 927-3046		Jesse Elizabeth Childs, PA-C
1300 South Drive,
Winnebago, WI 54985-5498

Ph: (920) 235-4910

Reviews and Comments


Physician Assistant Nurses in Winnebago, WI

Mr. Jacob Strange, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1300 South Drive, Winnebago, WI 54985
Phone: 920-235-4910    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.