Jacey Jo Wenner, in Saint Peter, MN - Medicare Occupational Therapist Provider

Jacey Jo Wenner, is a medicare enrolled "Occupational Therapist" provider in Saint Peter, Minnesota. Her current practice location is 830 Sunrise Dr Ste B, Saint Peter, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 935-3573.

Jacey Jo Wenner is licensed to practice in Minnesota (license number 106966) 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 1225760804.

Contact Information

	Jacey Jo Wenner,
	830 Sunrise Dr Ste B, Saint Peter, MN 56082-1203
	(507) 935-3573
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacey Jo Wenner
Gender	Female
Speciality	Occupational Therapist
Location	830 Sunrise Dr Ste B, Saint Peter, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225760804
Provider Enumeration Date: 06/30/2022
Last Update Date: 07/01/2025

Medicare PECOS Information:

PECOS PAC ID: 8729463989
Enrollment ID: I20220923002474

Medical Identifiers

Medical identifiers for Jacey Jo Wenner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225760804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	5937 (Minnesota)	Secondary
225X00000X	Occupational Therapist	106966 (Minnesota)	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. Jacey Jo Wenner allows following entities to bill medicare on her behalf.

Provider Name	Odom Sports Medicine Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533

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. Jacey Jo Wenner 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
Jacey Jo Wenner, 830 Sunrise Dr Ste B, Saint Peter, MN 56082-1203 Ph: (507) 935-3573	Jacey Jo Wenner, 830 Sunrise Dr Ste B, Saint Peter, MN 56082-1203 Ph: (507) 935-3573

Reviews and Comments

Occupational Therapist in Saint Peter, MN

Samantha Olsen, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 Mulberry St Ste E, Saint Peter, MN 56082 Phone: 507-934-3573
Jordan Smith, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Sunrise Drive, Suite B, Saint Peter, MN 56082 Phone: 507-934-3573 Fax: 507-934-4072
Go Therapy Inc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 830 Sunrise Dr Ste B, Saint Peter, MN 56082 Phone: 507-934-3573 Fax: 507-934-4072

Jacey Jo Wenner, - Medicare Occupational Therapist in Saint Peter, MN