Mrs Jamilynn Y Blachowski, PMHNP-BC in Menasha, WI

Mrs Jamilynn Y Blachowski, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Menasha, Wisconsin. Her current practice location is 1095 Midway Rd, Menasha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 720-2300.

Mrs Jamilynn Y Blachowski is licensed to practice in Wisconsin (license number 14563-33) 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 1497534036.

Contact Information

	Mrs Jamilynn Y Blachowski, PMHNP-BC
	1095 Midway Rd, Menasha, WI 54952-1115
	(920) 720-2300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jamilynn Y Blachowski
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1095 Midway Rd, Menasha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497534036
Provider Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 0941658611
Enrollment ID: I20231120001212

Medical Identifiers

Medical identifiers for Mrs Jamilynn Y Blachowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497534036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	14563-33 (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. Mrs Jamilynn Y Blachowski allows following entities to bill medicare on her behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Mrs Jamilynn Y Blachowski 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
Mrs Jamilynn Y Blachowski, PMHNP-BC 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300	Mrs Jamilynn Y Blachowski, PMHNP-BC 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300

Reviews and Comments

Nurse Practitioner Nurses in Menasha, WI

Meghan Keyes-lee, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1814 Appleton Rd, Menasha, WI 54952 Phone: 920-731-7445 Fax: 920-731-7459
Taylor Lackey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300
Cheryl M Habeck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Midway Pl, Menasha, WI 54952 Phone: 920-727-8030
Stephanie Frances Samson, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500
Lisa Kasperek, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1186 Appleton Rd, Menasha, WI 54952 Phone: 920-727-8733
Esther Melsha, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1814 Appleton Rd, Menasha, WI 54952 Phone: 920-931-1150
Barbara Farb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500 Fax: 920-993-2919

Mrs Jamilynn Y Blachowski, PMHNP-BC - Medicare Nurse Practitioner in Menasha, WI