| Jonathan K Jandrin, MSN, FNP-C | |
|
1500 Arbor Way, Kaukauna, WI 54130-7305 | |
| (920) 766-3200 | |
| Not Available |
| Full Name | Jonathan K Jandrin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1500 Arbor Way, Kaukauna, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538460175 | NPI | - | NPPES |
| 100227220 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 13440 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Aurora Llc | 0244130557 | 187 |
| Entity Name | Baycare Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Baycare Aurora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan K Jandrin, MSN, FNP-C Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Jonathan K Jandrin, MSN, FNP-C 1500 Arbor Way, Kaukauna, WI 54130-7305 Ph: (920) 766-3200 |
Jennifer Lea Baumgart, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Ms. Lori Deprez King, RN, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Jamie Leigh Dewitt, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 Fieldcrest Dr, Kaukauna, WI 54130 Phone: 920-426-6100 Fax: 920-426-6109 |