Johnathan B Reddick, APRN, CNP - Medicare Nurse Practitioner in Menomonee Falls, WI

Johnathan B Reddick, APRN, CNP is a medicare enrolled "Nurse Practitioner" in Menomonee Falls, Wisconsin. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northwestern Medical Faculty Foundation, Aurora Medical Group, Inc. and his current practice location is N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 251-7500.

Johnathan B Reddick is licensed to practice in Wisconsin (license number 101031-875) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245988781.

Contact Information

Johnathan B Reddick, APRN, CNP
N84w16889 Menomonee Ave,
Menomonee Falls, WI 53051-2810
(262) 251-7500
Not Available



Provider's Profile

Full NameJohnathan B Reddick
GenderMale
SpecialityNurse Practitioner
Experience3 Years
LocationN84w16889 Menomonee Ave, Menomonee Falls, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johnathan B Reddick graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1245988781
  • Provider Enumeration Date: 03/14/2022
  • Last Update Date: 12/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537555735
  • Enrollment ID: I20220414001085

Medical Identifiers

Medical identifiers for Johnathan B Reddick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245988781NPI-NPPES
100250920MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 101031-875 (Wisconsin)Primary
363L00000XNurse Practitioner 209023782 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Lake Forest HospitalLake forest, ILHospital
Northwestern Memorial HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143255
Aurora Medical Group, Inc.67097942583207

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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. Johnathan B Reddick allows following entities to bill medicare on his behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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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. Johnathan B Reddick 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
Johnathan B Reddick, APRN, CNP
Po Box 735044,
Chicago, IL 60673-5044

Ph: (262) 251-7500
Johnathan B Reddick, APRN, CNP
N84w16889 Menomonee Ave,
Menomonee Falls, WI 53051-2810

Ph: (262) 251-7500

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Nurse Practitioner Nurses in Menomonee Falls, WI

Debra J Casper, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-257-3510    
David J. Luber, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051
Phone: 262-251-7500    Fax: 262-251-7128
Jamie Ottow,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: W129n7055 Northfield Dr, Menomonee Falls, WI 53051
Phone: 414-805-7000    
Arlene L Vlieger, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-251-1000    
Anne Mutitu, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 414-290-6720    Fax: 414-290-6755
Emmy L Sippel, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-257-2783    Fax: 262-250-7440
Nicole Leigh Heding, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: W129n7055 Northfield Dr, Menomonee Falls, WI 53051
Phone: 414-430-4378    

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