Thomas William Jorgensen, - Medicare Nurse Anesthetist, Certified Registered in Ashland, WI

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Thomas William Jorgensen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ashland, Wisconsin. His current practice location is 1615 Maple Ln, Ashland, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 685-5500.

Thomas William Jorgensen is licensed to practice in Wisconsin (license number 9210-33) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093220089.

Contact Information

Thomas William Jorgensen,
1615 Maple Ln,
Ashland, WI 54806-3626
(715) 685-5500
Not Available

Map and Direction




Provider's Profile

Full NameThomas William Jorgensen
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1615 Maple Ln, Ashland, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093220089
  • Provider Enumeration Date: 12/12/2017
  • Last Update Date: 09/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8426319138
  • Enrollment ID: I20191112000075

Medical Identifiers

Medical identifiers for Thomas William Jorgensen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093220089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2182 (Minnesota)Secondary
367500000XNurse Anesthetist, Certified Registered 9210-33 (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. Thomas William Jorgensen allows following entities to bill medicare on his behalf.
Entity NameMemorial Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437179231
PECOS PAC ID: 8022000447
Enrollment ID: O20040402000938
Entity NameMedical Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912992827
PECOS PAC ID: 9436061363
Enrollment ID: O20040914001088
Entity NameMedical Services, Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1912992827
PECOS PAC ID: 9436061363
Enrollment ID: O20061104000208

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. Thomas William Jorgensen 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
Thomas William Jorgensen,
1615 Maple Ln,
Ashland, WI 54806-3689

Ph: (715) 685-5500		Thomas William Jorgensen,
1615 Maple Ln,
Ashland, WI 54806-3626

Ph: (715) 685-5500

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ashland, WI

Mr. Michael Andrew Peterson,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1615 Maple Lane, Ashland, WI 54806
Phone: 715-682-4563    Fax: 715-685-5108
Gregory Allen Zinke, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Maple Ln, Ashland, WI 54806
Phone: 715-685-5500    
Ms. Suzanne M Ulmer, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1615 Maple Ln, Ashland, WI 54806
Phone: 715-682-4563    
Mr. Stephen Charles Cushing, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1615 Maple Lane, Ashland, WI 54806
Phone: 715-682-4563    Fax: 815-685-5108
Mr. Shawn Douglas Brede, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1615 Maple Lane, Ashland, WI 54806
Phone: 715-682-4563    Fax: 715-685-5108

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.