Whitney Nicole Jacks, AUD in Midland, MI - Medicare Audiologist Provider

Whitney Nicole Jacks, AUD is a medicare enrolled "Audiologist" provider in Midland, Michigan. Her current practice location is 112 W Wackerly St, Midland, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 486-1457.

Whitney Nicole Jacks is licensed to practice in Michigan (license number 1601001084) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134846918.

Contact Information

	Whitney Nicole Jacks, AUD
	112 W Wackerly St, Midland, MI 48640-7367
	(989) 486-1457
	(989) 486-1479

Map and Direction

Healthcare Provider's Profile

Full Name	Whitney Nicole Jacks
Gender	Female
Speciality	Audiologist
Location	112 W Wackerly St, Midland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134846918
Provider Enumeration Date: 10/24/2022
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 8224406368
Enrollment ID: I20221122001264

Medical Identifiers

Medical identifiers for Whitney Nicole Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134846918	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	1601001084 (Michigan)	Primary

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. Whitney Nicole Jacks allows following entities to bill medicare on her behalf.

Provider Name	Great Lakes Bay Hearing Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265159545 PECOS PAC ID: 7517335656 Enrollment ID: O20221122001191

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. Whitney Nicole Jacks 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
Whitney Nicole Jacks, AUD 112 W Wackerly St, Midland, MI 48640-7367 Ph: (989) 486-1457	Whitney Nicole Jacks, AUD 112 W Wackerly St, Midland, MI 48640-7367 Ph: (989) 486-1457

Reviews and Comments

Audiologist in Midland, MI

Dr. Amber Katelan Tilley, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 328 W Wackerly St, Midland, MI 48640 Phone: 989-839-8230
Great Lakes Bay Hearing Llc Audiologist Medicare: Medicare Enrolled Practice Location: 112 W Wackerly St, Midland, MI 48640 Phone: 989-486-1457 Fax: 989-486-1479
Midmichigan Audiology Services Inc Audiologist Medicare: Medicare Enrolled Practice Location: 2520 Mccandless Dr, Midland, MI 48640 Phone: 989-839-6201 Fax: 989-839-6202
Dr. Nicole L Hacker, AU.D., PH.D. Audiologist Medicare: Medicare Enrolled Practice Location: 112 W Wackerly St Ste 1, Midland, MI 48640 Phone: 989-486-1457
Rachel Leblanc, AU.D, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 801 Joe Mann Blvd Ste H, Midland, MI 48642 Phone: 989-794-5404 Fax: 989-835-8720
Dr. Debra L Wall, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1504 Harcrest Dr, Suite 3, Midland, MI 48640 Phone: 989-835-1219 Fax: 989-835-7198

Whitney Nicole Jacks, AUD - Medicare Audiologist in Midland, MI