JENNIFER LYNN REED MD
NPI 1558461129
Family Medicine in Waukesha, WI
NPI Status: Active since September 24, 2006
Contact Information
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI
ZIP 53189
Phone: (262) 513-7555
Fax: (262) 928-7575
- Individual
- Female
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About JENNIFER REED
This page provides the complete NPI Profile along with additional information for Jennifer Reed, a primary care provider established in Waukesha, Wisconsin with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1558461129 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 49088020 (WI). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1558461129
- Provider Name
- JENNIFER LYNN REED MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES WAUKESHA, WI 53189
- Location Phone
- (262) 513-7555
- Location Fax
- (262) 928-7575
- Mailing Address
- 2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES WAUKESHA, WI 53189
- Mailing Phone
- (262) 928-7555
- Mailing Fax
- (262) 928-7575
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-24-2006
- Last Update Date
- 01-09-2012
- Code Navigator
A primary care provider (PCP) like Jennifer Reed sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 49088020
- License State
- WI
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 683750645 | MEDICARE PIN (08) | ||
| H57142 | MEDICARE UPIN (02) | WI | |
| 34902700 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Jennifer Reed is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53189 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for JENNIFER LYNN REED MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 5 | 8 | 4 | 6 | 1 | 1 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 8 | 6 | 2 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 8 + 6 + 2 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1558461129 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
THOMAS P CANTIERI M.D.
Internal Medicine
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES INC
WAUKESHA, WI
ZIP 53189
STEVEN W. KLEMISH M.D.
Family Medicine
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES, INC.
WAUKESHA, WI
ZIP 53189
TRACY M. LEWIS M.D.
Family Medicine
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI
ZIP 53189
DR. DONALD J NADAR MD
Family Medicine
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI
ZIP 53189
DR. KATHLEEN A BRASS M.D., PHD
Family Medicine
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI
ZIP 53189
LAUREN MARIKA FLEWELEN MD
Family Medicine
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI
ZIP 53189
REYHAN DEMIRCIOGLU MD
Internal Medicine
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI
ZIP 53189
MEGAN EDWARDS MD
Family Medicine
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI
ZIP 53189
DR. LAWRENCE EDWARD WALTER M.D.
Family Medicine
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI
ZIP 53189
THOMAS J. SHEEDY M.D.
Pediatrics
(Adolescent Medicine)
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI
ZIP 53189
MARGO A SHERMAN MD
Family Medicine
2130 BIG BEND RD
PROHEALTH CARE MEDICAL ASSOCIATES INC
WAUKESHA, WI
ZIP 53189
WILLIAM F LUTZ MD
Internal Medicine
2130 BIG BEND RD
WAUKESHA, WI
ZIP 53189
DR. ANNE MARIE FREA M.D.
Family Medicine
2130 BIG BEND RD
WAUKESHA, WI
ZIP 53189
DR. KATHRYN B HUGHES MD
Family Medicine
2130 BIG BEND RD
WAUKESHA, WI
ZIP 53189
JONATHAN R MUELLER APNP
Nurse Practitioner
(Family)
2130 BIG BEND RD
WAUKESHA, WI
ZIP 53189
PROHEALTH CARE INC
Physical Therapist
2130 BIG BEND RD
WAUKESHA, WI
ZIP 53189
SHERRY JOANNE MEURER PT
Physical Therapist
2130 BIG BEND RD
WAUKESHA, WI
ZIP 53189
DR. CALEB WALK DPT
Physical Therapist
2130 BIG BEND RD
WAUKESHA, WI
ZIP 53189
PROHEALTH MEDICAL GROUP INC
Family Medicine
2130 BIG BEND RD
WAUKESHA, WI
ZIP 53189
LINDSAY DAWN MANTEY APNP
Nurse Practitioner
(Family)
2130 BIG BEND RD
WAUKESHA, WI
ZIP 53189
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558461129, enumerated as an "individual" on September 24, 2006.
The provider is located at 2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES WAUKESHA, WI 53189 and the phone number is (262) 513-7555.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
