Mrs Jacquelyn Rene Forssberg, APRN - Medicare Nurse Practitioner in Great Bend, KS

Mrs Jacquelyn Rene Forssberg, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Great Bend, Kansas. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pratt Regional Medical Center Corporation and her current practice location is 1021 Eisenhower Ave, Great Bend, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 792-5437.

Mrs Jacquelyn Rene Forssberg is licensed to practice in Kansas (license number 53-76350-092) 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 1043628233.

Contact Information

Mrs Jacquelyn Rene Forssberg, APRN
1021 Eisenhower Ave,
Great Bend, KS 67530
(620) 792-5437
Not Available



Provider's Profile

Full NameMrs Jacquelyn Rene Forssberg
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1021 Eisenhower Ave, Great Bend, Kansas
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:
  • Mrs Jacquelyn Rene Forssberg graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1043628233
  • Provider Enumeration Date: 07/31/2014
  • Last Update Date: 03/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264721539
  • Enrollment ID: I20160510002483

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Rene Forssberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043628233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 53-76350-092 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pratt Regional Medical CenterPratt, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pratt Regional Medical Center Corporation135525323835

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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. Mrs Jacquelyn Rene Forssberg allows following entities to bill medicare on her behalf.
Entity NamePratt Regional Medical Center Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578596904
PECOS PAC ID: 1355253238
Enrollment ID: O20040419001344

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Entity NameSt. Catherine Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659360196
PECOS PAC ID: 4789595844
Enrollment ID: O20050302000707

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Entity NameSt Rose Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619372000
PECOS PAC ID: 0042534224
Enrollment ID: O20150116000615

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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. Mrs Jacquelyn Rene Forssberg 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
Mrs Jacquelyn Rene Forssberg, APRN
200 Commodore St,
Pratt, KS 67124-2903

Ph: (620) 450-1186
Mrs Jacquelyn Rene Forssberg, APRN
1021 Eisenhower Ave,
Great Bend, KS 67530

Ph: (620) 792-5437

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Nurse Practitioner Nurses in Great Bend, KS

Jose Luis Renteria, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1905 19th St, Great Bend, KS 67530
Phone: 620-792-5700    
Maria Antonia Villanueva, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1905 19th St, Great Bend, KS 67530
Phone: 620-792-5700    
Aimee Marie Wyant, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3515 Broadway Ave, Great Bend, KS 67530
Phone: 620-792-2511    Fax: 620-786-6262
Amanda Gail Lakin, BSN, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2008 11th St, Great Bend, KS 67530
Phone: 620-796-2788    Fax: 620-796-2789
Peter Mick, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 514 Cleveland St, Great Bend, KS 67530
Phone: 620-792-8833    
Hannah Linenberger, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 514 Cleveland St, Great Bend, KS 67530
Phone: 620-792-8833    

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