Jaclyn Jansen, AUD is a medicare enrolled "Audiologist" provider in Effingham, Illinois. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Sarah Bush Lincoln Health Center and her current practice location is
905 N Maple St, Effingham, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 347-7077.
Jaclyn Jansen is licensed to practice in Illinois (license number 147001570) 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 1861869687.
Healthcare Provider's Profile
| Full Name | Jaclyn Jansen |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 9 Years |
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| Location | 905 N Maple St, Effingham, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jaclyn Jansen graduated from medical school in 2015
NPI Data:
- NPI Number: 1861869687
- Provider Enumeration Date: 08/27/2015
- Last Update Date: 07/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709194145
- Enrollment ID: I20151005000189
Medical Identifiers
Medical identifiers for Jaclyn Jansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861869687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 147001570 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sarah Bush Lincoln Health Center | 5092614867 | 327 |
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. Jaclyn Jansen allows following entities to bill medicare on her behalf.
| Provider Name | Sarah Bush Lincoln Health Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478 |
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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. Jaclyn Jansen 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 Address | Practice Location Address |
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Jaclyn Jansen, AUD
1005 Health Center Dr Ste 201,
Mattoon, IL 61938-4653
Ph: (217) 258-2581 | Jaclyn Jansen, AUD
905 N Maple St,
Effingham, IL 62401
Ph: (217) 347-7077 |
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