Mrs Jennifer Lea Short, APRN in Granite City, IL

Mrs Jennifer Lea Short, APRN is a medicare enrolled "Nurse Practitioner - Family" in Granite City, Illinois. Her current practice location is 50 Northgate Industrial Dr, Granite City, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 877-4420.

Mrs Jennifer Lea Short is licensed to practice in Illinois (license number 209.028657) 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 1487428066.

Contact Information

	Mrs Jennifer Lea Short, APRN
	50 Northgate Industrial Dr, Granite City, IL 62040-6805
	(618) 877-4420
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Lea Short
Gender	Female
Speciality	Nurse Practitioner - Family
Location	50 Northgate Industrial Dr, Granite City, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487428066
Provider Enumeration Date: 11/14/2023
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 0244683555
Enrollment ID: I20240201003827

Medical Identifiers

Medical identifiers for Mrs Jennifer Lea Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487428066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.028657 (Illinois)	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 Jennifer Lea Short allows following entities to bill medicare on her behalf.

Entity Name	Chestnut Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738

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 Jennifer Lea Short 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 Jennifer Lea Short, APRN 6190 Bennett Dr Apt 114, Edwardsville, IL 62025-4731 Ph: (618) 830-0993	Mrs Jennifer Lea Short, APRN 50 Northgate Industrial Dr, Granite City, IL 62040-6805 Ph: (618) 877-4420

Reviews and Comments

Nurse Practitioner Nurses in Granite City, IL

Kierstin Hancock, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 54 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420
Stephanie King, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3732 Nameoki Rd, Granite City, IL 62040 Phone: 314-687-2735
Dalton Alexander Halm, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 619-798-3000
Diane M Schwind, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave, Suite 15, Granite City, IL 62040 Phone: 618-451-1500
Dr. Jaime Ann Campbell, DNP, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-512-1919 Fax: 618-512-1920
Julienne Carol Szlufik, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420
Robyn Wendt, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420

Mrs Jennifer Lea Short, APRN - Medicare Nurse Practitioner in Granite City, IL