Ms Jill E Klotzbach, NP in Medina, NY - Medicare Nurse Practitioner

Ms Jill E Klotzbach, NP is a medicare enrolled "Nurse Practitioner - Family" in Medina, New York. Her current practice location is 11075 W Center Street Ext, Medina, New York. You can reach out to her office (for appointments etc.) via phone at (585) 798-1053.

Ms Jill E Klotzbach is licensed to practice in New York (license number 276142-1) 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 1881687127.

Contact Information

	Ms Jill E Klotzbach, NP
	11075 W Center Street Ext, Medina, NY 14103-9557
	(585) 798-1053
	(585) 798-5639

Map and Direction

Provider's Profile

Full Name	Ms Jill E Klotzbach
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11075 W Center Street Ext, Medina, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881687127
Provider Enumeration Date: 08/23/2005
Last Update Date: 07/09/2010

Medicare PECOS Information:

PECOS PAC ID: 3577745447
Enrollment ID: I20110621000247

Medical Identifiers

Medical identifiers for Ms Jill E Klotzbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881687127	NPI	-	NPPES
02081836	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	276142-1 (New York)	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. Ms Jill E Klotzbach allows following entities to bill medicare on her behalf.

Entity Name	Orleans Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609873520 PECOS PAC ID: 7315857018 Enrollment ID: O20040504000620

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. Ms Jill E Klotzbach 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
Ms Jill E Klotzbach, NP 24 Richmond Ave, Batavia, NY 14020-1421 Ph: (585) 798-1053	Ms Jill E Klotzbach, NP 11075 W Center Street Ext, Medina, NY 14103-9557 Ph: (585) 798-1053

Reviews and Comments

Nurse Practitioner Nurses in Medina, NY

Rei Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Ohio St Ste 2, Medina, NY 14103 Phone: 585-318-4455
Pamela Ann Eaton, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Ohio St, Suite C, Medina, NY 14103 Phone: 585-798-3345
Janet Marie Wysocki Freer, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Ohio St, Medina, NY 14103 Phone: 585-798-3345
Julia M Avery, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Ohio St Ste 1, Medina, NY 14103 Phone: 585-798-3345
Nancy Ann Arbeiter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 314 Pearl St, Medina, NY 14103 Phone: 716-440-8259
Minnie R Clark, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Ohio St, Medina, NY 14103 Phone: 585-798-2000

Ms Jill E Klotzbach, NP - Medicare Nurse Practitioner in Medina, NY