Mr Jared William Kiernicki, PA-C - Medicare Physician Assistant in Green Bay, WI

Mr Jared William Kiernicki, PA-C is a medicare enrolled "Physician Assistant" in Green Bay, Wisconsin. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Oconto Hospital And Medical Center Inc, Bellin Memorial Hospital Inc and his current practice location is 1970 S Ridge Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 430-4888.

Mr Jared William Kiernicki is licensed to practice in Wisconsin (license number 5235-23) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376883397.

Contact Information

Mr Jared William Kiernicki, PA-C
1970 S Ridge Rd,
Green Bay, WI 54304-4125
(920) 430-4888
(920) 430-4889

Map and Direction




Provider's Profile

Full NameMr Jared William Kiernicki
GenderMale
SpecialityPhysician Assistant
Experience7 Years
Location1970 S Ridge Rd, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jared William Kiernicki graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1376883397
  • Provider Enumeration Date: 02/28/2013
  • Last Update Date: 06/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456626613
  • Enrollment ID: I20201002002537

Medical Identifiers

Medical identifiers for Mr Jared William Kiernicki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376883397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2286 (Kentucky)Secondary
363A00000XPhysician Assistant 10002329A (Indiana)Secondary
363A00000XPhysician Assistant 5235-23 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oconto Hospital And Medical Center Inc2163461781201
Bellin Memorial Hospital Inc8820900749513

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. Mr Jared William Kiernicki 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
Mr Jared William Kiernicki, PA-C
Po Box 22487,
Green Bay, WI 54305-2487

Ph: (920) 445-7222
Mr Jared William Kiernicki, PA-C
1970 S Ridge Rd,
Green Bay, WI 54304-4125

Ph: (920) 430-4888

Reviews and Comments


Physician Assistant Nurses in Green Bay, WI

Krista M Solarek, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1970 S Ridge Rd, Green Bay, WI 54304
Phone: 920-430-4888    Fax: 920-430-4889
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Practice Location: 1715 Dousman St, Green Bay, WI 54303
Phone: 920-496-4770    
Bethany J Piotrowski,
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Medicare: Accepting Medicare Assignments
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Phone: 920-433-6000    Fax: 920-430-4719
Whitney Jo Brusich, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1726 Shawano Ave, Green Bay, WI 54303
Phone: 920-498-4200    
Ethan T Shaver, PA
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Medicare: Accepting Medicare Assignments
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Phone: 920-288-5555    Fax: 920-288-5550
Dayna K Niesen, PA-C
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Medicare: Medicare Enrolled
Practice Location: 1726 Shawano Ave, Green Bay, WI 54303
Phone: 414-290-6720    Fax: 414-290-6755
Katelin Marie Selner, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-8300    

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).

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