Mrs Jennifer Leigh Defauw, in Valparaiso, IN - Medicare Nurse Practitioner

Mrs Jennifer Leigh Defauw, is a medicare enrolled "Nurse Practitioner" in Valparaiso, Indiana. Her current practice location is 1101 Glendale Blvd # 102a, Valparaiso, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 464-9521.

Mrs Jennifer Leigh Defauw is licensed to practice in Indiana (license number 71013190A) 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 1548982812.

Contact Information

	Mrs Jennifer Leigh Defauw,
	1101 Glendale Blvd # 102a, Valparaiso, IN 46383-3767
	(219) 464-9521
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Leigh Defauw
Gender	Female
Speciality	Nurse Practitioner
Location	1101 Glendale Blvd # 102a, Valparaiso, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548982812
Provider Enumeration Date: 09/14/2022
Last Update Date: 11/30/2022

Medicare PECOS Information:

PECOS PAC ID: 0345610663
Enrollment ID: I20230103001625

Medical Identifiers

Medical identifiers for Mrs Jennifer Leigh Defauw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548982812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71013190A (Indiana)	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 Leigh Defauw allows following entities to bill medicare on her behalf.

Entity Name	Porter Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409

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 Leigh Defauw 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 Leigh Defauw, 2753 Kerry Dr, Valparaiso, IN 46385-0031 Ph: (219) 331-8183	Mrs Jennifer Leigh Defauw, 1101 Glendale Blvd # 102a, Valparaiso, IN 46383-3767 Ph: (219) 464-9521

Reviews and Comments

Nurse Practitioner Nurses in Valparaiso, IN

Miss Jessica Diehl, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2307 Laporte Ave Ste 8, Valparaiso, IN 46383 Phone: 219-464-7073 Fax: 219-464-7543
Elizabeth Victoria Moerman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Lincolnway, Valparaiso, IN 46383 Phone: 219-247-4003 Fax: 574-203-9702
Asha Koshy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Sturdy Rd, Valparaiso, IN 46383 Phone: 219-462-7173 Fax: 219-462-7504
Ms. Chrysanthemum M Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 South Sturdy Rd., Valparaiso, IN 46383 Phone: 219-531-0200 Fax: 219-531-0045
Melissa M Dvorscak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 Cumberland Xing, Valparaiso, IN 46383 Phone: 219-763-8112 Fax: 219-764-5380
Frances Denean Laka, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1805 Calumet Ave, Valparaiso, IN 46383 Phone: 574-215-1039
Mrs. Karla Joann Hanson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Roosevelt Rd Bldg A, Valparaiso, IN 46383 Phone: 219-263-7240

Mrs Jennifer Leigh Defauw, - Medicare Nurse Practitioner in Valparaiso, IN