Jacquelyn Marie Nickele, - Medicare Dentist in Louisville, KY

Jacquelyn Marie Nickele, is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Louisville, Kentucky. Her current practice location is 1815 Bardstown Rd, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 459-4120.

Jacquelyn Marie Nickele is licensed to practice in Kentucky (license number 9476) 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 1922418169.

Contact Information

Jacquelyn Marie Nickele,
1815 Bardstown Rd,
Louisville, KY 40205-1433
(502) 459-4120
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacquelyn Marie Nickele
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location1815 Bardstown Rd, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922418169
  • Provider Enumeration Date: 04/28/2014
  • Last Update Date: 05/31/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2567768849
  • Enrollment ID: I20160311002335

Medical Identifiers

Medical identifiers for Jacquelyn Marie Nickele such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922418169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 9476 (Kentucky)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 12012676A (Indiana)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 9476 (Kentucky)Primary

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. Jacquelyn Marie Nickele 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 AddressPractice Location Address
Jacquelyn Marie Nickele,
Po Box 860036,
Minneapolis, MN 55486-0036

Ph: (502) 459-4120
Jacquelyn Marie Nickele,
1815 Bardstown Rd,
Louisville, KY 40205-1433

Ph: (502) 459-4120

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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