Jeanette Hammerstein, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

4301080228 Issued in MI

Practice address

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403-8000

Phone

(812) 825-1111

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Indiana University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monticello Emergency Care, LLCGroup PAC ID 4183664956, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monroe Hospital Hospital, Bloomington, IN, CCN 150183

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeanette.hammerstein@iushc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monticello Emergency Care, LLC

  • Emergency Medicine Physician
  • Bloomington, IN
  • NPI 1003849399
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Professionals of Indiana LLC

  • Emergency Medicine Physician
  • Bloomington, IN
  • NPI 1639109945
  NPD (past)
• Emergency Care Specialists PC

  • Emergency Medicine Physician
  • Grand Rapids, MI
  • NPI 1093766958
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - Monroe LLC

  • General Acute Care Hospital
  • Bloomington, IN
  • NPI 1740686443
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1841211042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 S MONROE MEDICAL PARK BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038000",
            "telephone_number": "812-825-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 S MONROE MEDICAL PARK BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038000",
            "telephone_number": "812-825-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERSTEIN",
        "first_name": "JEANETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301080228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSPECIFIED",
            "identifier": "1841211042",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Ann Hamilton, DPT
• Michael A Hamilton, MD
• Sharon Hamilton, PHD
• Hammel Psychological Services, LLC
• Jacinda C Hammel, PH.D.
• Elaina Marie Hammond
• Jennifer Lee Hammond, LCSW
• Jonathan Koji Hammond
• Amy Hammons, WRAPAROUND
• Michelle D Hamric, NP

• Emergency Medical Services (Emergency Medicine) Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.