Catherine Jackey, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Avondale, Arizona. Her current practice location is
10815 W Mcdowell Rd Ste 202, Avondale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 433-0202.
Catherine Jackey is licensed to practice in Arizona (license number AP10283) 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 1598286155.
Physician's Profile
| Full Name | Catherine Jackey |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 10815 W Mcdowell Rd Ste 202, Avondale, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598286155
- Provider Enumeration Date: 07/04/2017
- Last Update Date: 08/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951674480
- Enrollment ID: I20170906000593
Medical Identifiers
Medical identifiers for Catherine Jackey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598286155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | AP10283 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP10283 (Arizona) | 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. Catherine Jackey allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Medical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760441141
PECOS PAC ID: 1052328408
Enrollment ID: O20060309000742 |
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| Entity Name | Carefree Internal Medicine Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861680613
PECOS PAC ID: 6204922164
Enrollment ID: O20071023000755 |
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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. Catherine Jackey 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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Catherine Jackey, FNP
3815 E Bell Rd Ste 4500,
Phoenix, AZ 85032-2171
Ph: (602) 633-3848 | Catherine Jackey, FNP
10815 W Mcdowell Rd Ste 202,
Avondale, AZ 85392-5010
Ph: (623) 433-0202 |
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