Jacqueline Deffenbaugh, APN, WHNP - Medicare Nurse Practitioner in Bloomington, IL

Jacqueline Deffenbaugh, APN, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Bloomington, Illinois. She graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osf Multi-specialty Group, Advanced Womens Healthcare Sc and her current practice location is 2304 Stern Dr, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 663-0411.

Jacqueline Deffenbaugh is licensed to practice in Illinois (license number 209002146) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174535306.

Contact Information

Jacqueline Deffenbaugh, APN, WHNP
2304 Stern Dr,
Bloomington, IL 61704-4487
(309) 663-0411
(309) 662-2018



Provider's Profile

Full NameJacqueline Deffenbaugh
GenderFemale
SpecialityNurse Practitioner
Experience29 Years
Location2304 Stern Dr, Bloomington, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Deffenbaugh graduated from nursing school in 1995
  NPI Data:
  • NPI Number: 1174535306
  • Provider Enumeration Date: 08/13/2006
  • Last Update Date: 03/31/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3072587997
  • Enrollment ID: I20040825000494

Medical Identifiers

Medical identifiers for Jacqueline Deffenbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174535306NPI-NPPES
216064OtherMEDICARE GROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 209002146 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Central Dupage HospitalWinfield, ILHospital
St Joseph Medical CenterBloomington, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891543
Advanced Womens Healthcare Sc91333793408

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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. Jacqueline Deffenbaugh allows following entities to bill medicare on her behalf.
Entity NameAdvanced Womens Healthcare Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376890426
PECOS PAC ID: 9133379340
Enrollment ID: O20121024000746

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Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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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. Jacqueline Deffenbaugh 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
Jacqueline Deffenbaugh, APN, WHNP
2304 Stern Dr,
Bloomington, IL 61704-4487

Ph: (309) 663-0411
Jacqueline Deffenbaugh, APN, WHNP
2304 Stern Dr,
Bloomington, IL 61704-4487

Ph: (309) 663-0411

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Nurse Practitioner Nurses in Bloomington, IL

Theresa Kauth,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 108 W Market St, Bloomington, IL 61701
Phone: 309-827-5351    Fax: 309-829-6808
Cheryl Hansen, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3024 E Empire St, Bloomington, IL 61704
Phone: 309-454-4411    
Carey Harris,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1701 E College Ave, Bloomington, IL 61704
Phone: 309-664-3000    Fax: 309-664-3026
Elizabeth Jeanne Robert, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704
Phone: 309-556-7800    Fax: 309-556-7804
Ms. Linda Kay Wall, A.P.N.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701
Phone: 309-827-4014    Fax: 309-828-6626
Amy O'brien, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1401 Eastland Dr, Bloomington, IL 61701
Phone: 309-661-3360    Fax: 309-661-3390
Mrs. Sonal Mukesh Patel, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1701 E College Ave, Bloomington, IL 61704
Phone: 309-664-3800    

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