Jenna Dornak, in Belleville, IL - Medicare Physician Assistant

Jenna Dornak, is a medicare enrolled "Physician Assistant" in Belleville, Illinois. Her current practice location is 4500 Memorial Dr, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-7750.

Jenna Dornak is licensed to practice in * (Not Available) (license number ) 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 1124582523.

Contact Information

	Jenna Dornak,
	4500 Memorial Dr, Belleville, IL 62226-5360
	(618) 233-7750
	Not Available

Provider's Profile

Full Name	Jenna Dornak
Gender	Female
Speciality	Physician Assistant
Location	4500 Memorial Dr, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124582523
Provider Enumeration Date: 01/30/2019
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 5294069118
Enrollment ID: I20190627000127

Medical Identifiers

Medical identifiers for Jenna Dornak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124582523	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Jenna Dornak 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
Jenna Dornak, 5800 Highlands Plaza Dr Apt 133, Saint Louis, MO 63110-1358 Ph: () -	Jenna Dornak, 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 233-7750

News Archive

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Physician Assistant Nurses in Belleville, IL

Kim C Wrigley, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 340, Belleville, IL 62226 Phone: 618-234-9884
Lance L Lane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226 Phone: 618-767-7700
Miss Kristina Klaverkamp, MSPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2810 Frank Scott Pkwy W Ste 716, Belleville, IL 62223 Phone: 618-355-0880
Kevin Wilson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371
Molly Claire Wade, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 120, Belleville, IL 62226 Phone: 618-222-1020
Jean Schumaker, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 W Lincoln St, Suite 540, Belleville, IL 62220 Phone: 618-222-1341 Fax: 618-222-1487

Jenna Dornak, - Medicare Physician Assistant in Belleville, IL