Jean A Ibric, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31591 Issued in WI

Practice address

1010 N Washington St
Janesville, WI 53548-1500

Phone

(608) 741-2430

Fax

(608) 741-6798

NPI assigned

Aug 21, 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 2

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Iris Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1942735766
  Medicare reassignment NPD
• Iris Health Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waupaca, WI
  • NPI 1588267330
  NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871608356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N WASHINGTON ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535481500",
            "telephone_number": "608-741-2430",
            "fax_number": "608-741-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N WASHINGTON ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535481500",
            "telephone_number": "608-741-2430",
            "fax_number": "608-741-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRIC",
        "first_name": "JEAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "31591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "IBRICJEA",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31836300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Hunter, MD
• Anna M. Hurtley, DPT
• Yusaf Muhammad Hussain, DO
• Jennifer A Hussli, MD
• Hy-Vee Inc
• Bryan Anochili Ikeudenta, MD
• Megan Marie Ils, COTA
• Impact Family Services LLC
• David Neal Innis, LPN, LICSW
• Integrity Family Dentistry LLC

• Family Medicine Physician in Janesville, WI
• Providers in Janesville, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.