Zachary Jennings, RN is a
Nurse Anesthetist, Certified Registered based in Menasha, Wisconsin. Zachary Jennings is licensed to practice in Wisconsin (license number 17041-33) and his current practice location is
1449 Manitowoc Rd, Menasha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(815) 353-5824.
NPI number for Zachary Jennings is 1104607340 and his current mailing address is 1449 Manitowoc Rd, Menasha, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104607340.
Provider's Profile
Full Name | Zachary Jennings |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1449 Manitowoc Rd, Menasha, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104607340
- Provider Enumeration Date: 10/12/2023
- Last Update Date: 07/08/2025
Medical Identifiers
Medical identifiers for Zachary Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104607340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 196435 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 17041-33 (Wisconsin) | Primary |
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. Zachary Jennings is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Zachary Jennings, RN 1449 Manitowoc Rd, Menasha, WI 54952-2630 Ph: (815) 353-5824 | Zachary Jennings, RN 1449 Manitowoc Rd, Menasha, WI 54952-2630 Ph: (815) 353-5824 |
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